Active NPI
George Mwangi
- Occupational Therapist
- Fair Lawn, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 009765-1
- Practice address
- 12-45 River Rd # 317
Fair Lawn, NJ 07410-1812 - Phone
- (862) 684-1789
- Fax
- (201) 797-0410
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 46TR00076600 | NJ | |
| Occupational Therapist | 225X00000X | 009765-1 | NY | Primary |
Addresses
Primary practice location
12-45 River Rd # 317
Fair Lawn, NJ 07410-1812
Mailing address
12-45 River Rd # 317
Fair Lawn, NJ 07410-1812
Phone (862) 684-1789
Other names 1
- Mr. George Mwangi
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009765-1 | NY | MD | Psychologist |
| 46TR00076600 | NJ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Epic Long Island | Current | Accepting new patients | |
| GM Rehab Services LLC | Occupational Therapist | Current | Accepting new patients |
| Global SLP OT PT & Psychological Services, PLLC | Occupational Therapist | Current | Accepting new patients |
| Lifespire, Inc. | Current | Accepting new patients | |
| Way Rehab Services | Current | Accepting new patients | |
| Epilepsy Foundation of L.I. | Current | Accepting new patients | |
| Epic Medical Services PC | Current | Accepting new patients | |
| Lifespire, Inc. | Current | Accepting new patients | |
| GM Rehab Services LLC | Occupational Therapist | Current | Accepting new patients |
Locations
12-45 River Rd
Ste 317
Fair Lawn, NJ 07410
Phone (862) 684-1789
12-45 River Rd
#317
Fair Lawn, NJ 07410
Phone (862) 684-1789
21301 Northern Blvd
Fl 2
Bayside, NY 11361
Phone (718) 721-5444
1500 Hempstead Tpke
East Meadow, NY 11554
Phone 51673977331420
16210 Jamaica Ave
Ste 7
Jamaica, NY 11432
Phone (718) 454-2700
1979 Marcus Ave
Ste 204
New Hyde Park, NY 11042
Phone (516) 327-4681
159 E 125th St
Fl 2
New York, NY 10035
Phone (212) 360-5600
Organizations & group practices 9
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.
-
- Occupational Therapist
- Fair Lawn, NJ
- NPI 1972000362
-
- Physical Therapy Clinic/Center
- Bergenfield, NJ
- NPI 1396341871
-
- Voluntary or Charitable Agency
- East Meadow, NY
- NPI 1174563936
-
- Specialist
- East Meadow, NY
- NPI 1134589609
-
- Speech-Language Pathologist
- Lake Success, NY
- NPI 1568093771
Occupational Therapist
-
- Clinic/Center
- New York, NY
- NPI 1497709166
-
- Occupational Therapist
- Fair Lawn, NJ
- NPI 1912572017
-
dba E.P.I.C. Clinical Care
- Voluntary or Charitable Agency
- Garden City, NY
- NPI 1467755785
-
- Voluntary or Charitable Agency
- Hollis, NY
- NPI 1164629788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701907200000",
"number": "1114951464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12-45 RIVER RD # 317",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074101812",
"telephone_number": "862-684-1789",
"fax_number": "201-797-0410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12-45 RIVER RD # 317",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074101812",
"telephone_number": "862-684-1789",
"fax_number": "201-797-0410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MWANGI",
"first_name": "GEORGE",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2023-12-07",
"certification_date": "2023-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR00076600",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "009765-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GEORGE",
"last_name": "MWANGI",
"prefix": "MR.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Fair Lawn, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.