Ellen E Weinman, OT – Hand Occupational Therapist

Key facts

NPI: 1174548846
Entity type: Individual (NPI type 1)
Primary specialty: Hand Occupational Therapist 225XH1200X
License: 46TR00000100 (NJ)
Practice address: 75 Bloomfield Avenue
Suite 102
Denville, NJ 07834-2735
Phone: (973) 664-9899
Fax: (973) 664-1875
NPI assigned: Jul 13, 2006
Sex: Female
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
OC009055	PA	MD	Hand Occupational Therapist

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Hand Occupational Therapist	225XH1200X	46TR00000100	NJ	Yes
Hand Occupational Therapist	225XH1200X	OC009055	PA

Addresses

Primary practice location

75 Bloomfield Avenue
Suite 102
Denville, NJ 07834-2735

Mailing address

150 Floral Ave
New Providence, NJ 07974-1557
Phone (908) 273-4300

Other names

Ellen E Eichen Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 22, 2015.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445472000000",
    "number": "1174548846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 FLORAL AVE",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079741557",
            "telephone_number": "908-273-4300",
            "fax_number": "908-790-6576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 BLOOMFIELD AVENUE",
            "address_2": "SUITE 102",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342735",
            "telephone_number": "973-664-9899",
            "fax_number": "973-664-1875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINMAN",
        "first_name": "ELLEN",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2015-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NJ",
            "license": "46TR00000100",
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "PA",
            "license": "OC009055",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "EICHEN",
            "middle_name": "E",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denville, NJ

All providers in Denville, NJ · Hand Occupational Therapist in New Jersey

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2015. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.