Active NPI
Mariela A Arcentales, M.S., OTR/L
- Occupational Therapist
- Fair Lawn, NJ
National Provider Identifier
1124640990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR00650200
- Practice address
- 12-28 River Rd
Fair Lawn, NJ 07410-1489 - Phone
- (201) 314-3396
- NPI assigned
- May 14, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 46TR00650200 | NJ | Primary |
Addresses
Primary practice location
12-28 River Rd
Fair Lawn, NJ 07410-1489
Mailing address
12-28 River Rd
Fair Lawn, NJ 07410-1489
Phone (201) 314-3396
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 |
|---|---|---|---|
| 46TR00650200 | NJ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Performex Pediatric Services | Occupational Therapist | Current | Accepting new patients |
| The Therapy Gym | Past | Accepting new patients |
Locations
12-28 River Rd
Fair Lawn, NJ 07410
Phone (201) 314-3396
Organizations & group practices 2
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 1346901253
-
- Physical Therapy Clinic/Center
- Teaneck, NJ
- NPI 1972882249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644537600000",
"number": "1124640990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12-28 RIVER RD",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074101489",
"telephone_number": "201-314-3396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12-28 RIVER RD",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074101489",
"telephone_number": "201-314-3396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARCENTALES",
"first_name": "MARIELA",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "M.S., OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-14",
"last_updated": "2022-02-11",
"certification_date": "2022-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR00650200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Feb 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.