Maryam Abass, B.SC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00656300 Issued in NJ

Practice address

331 Central Ave
1
Orange, NJ 07050-2407

Phone

(973) 673-4600

NPI assigned

Jun 4, 2015

Sex

Female

Sole proprietor

No

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

Enrolled in NJ

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Varsha Pohuja LLC 43 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Varsha Pohuja LLC

  • Rehabilitation Clinic/Center
  • Long Branch, NJ
  • NPI 1295281699

  NJ, Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Activa Rehabilitation Services LLC

  • Physical Therapist
  • Orange, NJ
  • NPI 1366796039

  NJ

  Medicare reassignment NPD
• New Way Rehabilitation LLC

  • Rehabilitation Clinic/Center
  • Kent, WA
  • NPI 1053059915
  NPD (past)

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433376000000",
    "number": "1114307113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 12TH STREET",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07107",
            "telephone_number": "973-573-8287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 CENTRAL AVE",
            "address_2": "1",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "070502407",
            "telephone_number": "973-673-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABASS",
        "first_name": "MARYAM",
        "name_prefix": "Miss",
        "credential": "B.SC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-04",
        "last_updated": "2015-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00656300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 21St Century Total Health Clinic PC
• 2ND Home Day Hab Center LLC
• 2ND Home Orange Operations LLC
• 7TH Grace Healthcare Services LLC
• Eunice Abimah, MSW, LSW
• Sarah Petya Shonkwiler Abrams, LCSW
• Accuhealth
• Accuhealth LLC
• Activa Rehabilitation Services LLC

• All providers in Orange, NJ
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.