Active NPI
Cindy Pendergraft, MS, OTR/L
- Occupational Therapist
- Old Tappan, NJ
National Provider Identifier
1124499223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR00465400
- Practice address
- 24 Lakeview Dr
Old Tappan, NJ 07675-7065 - Phone
- (845) 664-0015
- NPI assigned
- Oct 14, 2015
- Sex
- Female
- 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 | 46TR00465400 | NJ | Primary |
| Occupational Therapist | 225X00000X | 014867-1 | NY |
Addresses
Primary practice location
24 Lakeview Dr
Old Tappan, NJ 07675-7065
Mailing address
24 Lakeview Dr
Old Tappan, NJ 07675-7065
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR00465400 | NJ | MD | Occupational Therapist |
| 014867-1 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444780800000",
"number": "1124499223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 LAKEVIEW DR",
"city": "OLD TAPPAN",
"state": "NJ",
"postal_code": "076757065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 LAKEVIEW DR",
"city": "OLD TAPPAN",
"state": "NJ",
"postal_code": "076757065",
"telephone_number": "845-664-0015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENDERGRAFT",
"first_name": "CINDY",
"credential": "MS, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-14",
"last_updated": "2015-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR00465400",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "014867-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Old Tappan, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.