Active NPI
Nicole Bavaro Zukofski
- Occupational Therapist
- Manalapan, NJ
National Provider Identifier
1154049211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR01066500
- Practice address
- 100 Craig Rd Ste 102
Manalapan, NJ 07726-8731 - Phone
- (866) 987-8669
- NPI assigned
- Aug 16, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 46TR01066500 | NJ | Primary |
Addresses
Primary practice location
100 Craig Rd Ste 102
Manalapan, NJ 07726-8731
Mailing address
14 Southard Ave
Farmingdale, NJ 07727-1214
Phone (908) 692-6291
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR01066500 | NJ | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719446400000",
"number": "1154049211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 SOUTHARD AVE",
"city": "FARMINGDALE",
"state": "NJ",
"postal_code": "077271214",
"telephone_number": "908-692-6291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CRAIG RD STE 102",
"city": "MANALAPAN",
"state": "NJ",
"postal_code": "077268731",
"telephone_number": "866-987-8669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAVARO ZUKOFSKI",
"first_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-16",
"last_updated": "2024-06-27",
"certification_date": "2024-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR01066500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manalapan, NJ
- Gordon Barnes
- Moira Colleen Barocas
- Diane A Barravecchio, RD, LDN
- Alan L. Bass, D.P.M.
- Paul J Battipaglia, D.C.
- Beacon Specialized Living New Jersey, Inc.
- Beacon Specialized Living New Jersey, Inc.
- Beacon Specialized Living New Jersey, Inc.
- Beacon Specialized Living New Jersey, Inc.
- Beacon Specialized Living New Jersey, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.