Individual provider Active NPI

Mary Beth Pantina, OTR

  • Occupational Therapist
  • Whippany, NJ
National Provider Identifier
1184152068
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00672500 Issued in NJ
Practice address
155 Algonquin Pkwy
Whippany, NJ 07981-1653
Phone
(201) 741-4231
NPI assigned
May 23, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 46TR00672500 NJ Primary

Addresses

Primary practice location

155 Algonquin Pkwy
Whippany, NJ 07981-1653

Mailing address

21 Winged Foot Dr
Manalapan, NJ 07726-9332
Phone (732) 216-7602

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170707001239 NJ Practitioner - Occupational Therapist in Private Practice 0143599175 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Varsha Pohuja LLCGroup PAC ID 8426346636, 43 clinicians

Practice addresses (Care Compare)

357 Buckelew Ave
Monroe, NJ 08831-2961
Phone (732) 521-1194

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR00672500NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Varsha Pohuja LLC Occupational Therapist CurrentSince May 25, 2017 Accepting new patients
Mobile Therapy Services, Inc. Occupational Therapist CurrentSince Aug 15, 2019 Accepting new patients
New Way Rehabilitation LLC PastSince May 29, 2022 Accepting new patients

Locations

357 Buckelew Ave
Monroe Twp, NJ 08831
Phone (732) 521-1194

155 Algonquin Pkwy
Whippany, NJ 07981
Phone (201) 741-4231

8 John Walsh Blvd
Ste 406A
Peekskill, NY 10566
Phone (732) 440-7858

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1184152068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 WINGED FOOT DR",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077269332",
            "telephone_number": "732-216-7602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 ALGONQUIN PKWY",
            "city": "WHIPPANY",
            "state": "NJ",
            "postal_code": "079811653",
            "telephone_number": "201-741-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTINA",
        "first_name": "MARY BETH",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00672500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whippany, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.