Nicolette Desalvatore, OTD

Primary specialty

Neurorehabilitation Occupational TherapistTaxonomy code 225XN1300X

License

46TR01188100 Issued in NJ

Practice address

4 Furlong Dr
Millstone Township, NJ 08535-8109

Phone

(732) 610-0502

NPI assigned

Nov 18, 2024

Last updated

Nov 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1144045030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 FURLONG DR",
            "city": "MILLSTONE TOWNSHIP",
            "state": "NJ",
            "postal_code": "085358109",
            "telephone_number": "732-610-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 FURLONG DR",
            "city": "MILLSTONE TOWNSHIP",
            "state": "NJ",
            "postal_code": "085358109",
            "telephone_number": "732-610-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESALVATORE",
        "first_name": "NICOLETTE",
        "credential": "OTD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "NJ",
            "license": "46TR01188100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caryn Citro, MSW
• Thomas Corbisiero, DPT
• James Vito Defilippis, D.D.S.
• Danielle Delduca
• Paulomi Hardik Desai, PT,DPT
• Ngozi Erondu, MD
• Everas Community Services, Inc.
• Everas Community Services, Inc.
• Cori Fiorini, OTR/L
• Franklin Medical Care, LLC (Franklin Medical Center)

• Neurorehabilitation Occupational Therapist in Millstone Township, NJ
• Providers in Millstone Township, NJ by specialty
• Neurorehabilitation Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.