Individual provider Active NPI

Reb Jeremiah Gevera Beltrano, OTR

  • Occupational Therapist
  • Rockleigh, NJ
National Provider Identifier
1114727989
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR01096500 Issued in NJ
Practice address
10 Link Dr
Rockleigh, NJ 07647-2504
Phone
(201) 750-4236
NPI assigned
Mar 19, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR01096500 NJ Primary

Addresses

Primary practice location

10 Link Dr
Rockleigh, NJ 07647-2504

Mailing address

10 Link Dr
Rockleigh, NJ 07647-2504
Phone (201) 750-4236

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250408000269 NJ Practitioner - Occupational Therapist in Private Practice 1052835485 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR01096500NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Home Assisted Living Occupational Therapist CurrentSince Apr 2, 2025 Accepting new patients

Locations

685 Westwood Ave
River Vale, NJ 07675
Phone (201) 478-4260

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1742342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1114727989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 LINK DR",
            "city": "ROCKLEIGH",
            "state": "NJ",
            "postal_code": "076472504",
            "telephone_number": "201-750-4236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 LINK DR",
            "city": "ROCKLEIGH",
            "state": "NJ",
            "postal_code": "076472504",
            "telephone_number": "201-750-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELTRANO",
        "first_name": "REB JEREMIAH",
        "middle_name": "GEVERA",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-19",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01096500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockleigh, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.