Individual provider Active NPI

Rose Olivia Mullaghy, OTR/L

  • Occupational Therapist
  • Florham Park, NJ
National Provider Identifier
1124878897
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR01158400 Issued in NJ
Practice address
171 Ridgedale Ave Ste a
Florham Park, NJ 07932-1764
Phone
(973) 377-6327
NPI assigned
Mar 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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 46TR01158400 NJ Primary

Addresses

Primary practice location

171 Ridgedale Ave Ste a
Florham Park, NJ 07932-1764

Mailing address

346 Terrace Ave
Jersey City, NJ 07307-3954

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240501002479 NJ Practitioner - Occupational Therapist in Private Practice 3971943499 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR01158400NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Health Physical Medicine and Rehab Center CurrentSince Apr 1, 2024 Accepting new patients
Total Health Physical Medicine & Rehabilitation Center LLC CurrentSince Apr 1, 2024 Accepting new patients

Locations

492 Springfield Ave
Berkeley Hts, NJ 07922
Phone (908) 665-0770

171 Ridgedale Ave
Ste A
Florham Park, NJ 07932
Phone (973) 377-6327

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.

NPI Registry JSON

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1124878897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 TERRACE AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073073954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 RIDGEDALE AVE STE A",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321764",
            "telephone_number": "973-377-6327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLAGHY",
        "first_name": "ROSE",
        "middle_name": "OLIVIA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01158400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florham Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.