Active NPI
Gerardina Bogdanovic, D.C., OT
- Occupational Therapist
- Scotch Plains, NJ
National Provider Identifier
1114305554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR800804600
- Practice address
- 1774 E 2ND St
Scotch Plains, NJ 07076-1708 - Phone
- (908) 490-1800
- NPI assigned
- May 18, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00633800 | NJ | |
| Occupational Therapist | 225X00000X | 46TR800804600 | NJ | Primary |
Addresses
Primary practice location
1774 E 2ND St
Scotch Plains, NJ 07076-1708
Mailing address
1076 Carteret Rd
Bridgewater, NJ 08807-1307
Phone (909) 490-1800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38MC00633800 | NJ | MD | Chiropractor |
| 46TR800804600 | NJ | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518480000000",
"number": "1114305554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1076 CARTERET RD",
"city": "BRIDGEWATER",
"state": "NJ",
"postal_code": "088071307",
"telephone_number": "909-490-1800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1774 E 2ND ST",
"city": "SCOTCH PLAINS",
"state": "NJ",
"postal_code": "070761708",
"telephone_number": "908-490-1800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOGDANOVIC",
"first_name": "GERARDINA",
"credential": "D.C., OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-18",
"last_updated": "2018-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00633800",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR800804600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scotch Plains, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.