Ronell Green, OTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

46TA09124300 Issued in NJ

Practice address

360 6TH Ave
Lindenwold, NJ 08021-3547

Phone

(856) 305-0469

NPI assigned

Jul 10, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625875200000",
    "number": "1104498161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 6TH AVE",
            "city": "LINDENWOLD",
            "state": "NJ",
            "postal_code": "080213547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 6TH AVE",
            "city": "LINDENWOLD",
            "state": "NJ",
            "postal_code": "080213547",
            "telephone_number": "856-305-0469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "RONELL",
        "credential": "OTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-10",
        "last_updated": "2021-07-10",
        "certification_date": "2021-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NJ",
            "license": "46TA09124300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James V Galeno, R.PH.
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• Steven M. Gerzoff, DDS
• Lennard R Gildiner, M.D.
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• Yolanda Hamilton
• Melissa Harmon, RRT
• Health 1St Limited Liability Company
• Gary X. Heck, DO
• Helping Hands TLC Services

• Occupational Therapy Assistant in Lindenwold, NJ
• Providers in Lindenwold, NJ by specialty
• Occupational Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.