Justin Fauder

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR01152800 Issued in NJ

Practice address

118 Outwater LN
Garfield, NJ 07026-2629

Phone

(973) 955-2190

NPI assigned

Apr 4, 2024

Last updated

Apr 4, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in NJ

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Theraphysical LLCGroup PAC ID 4981856341, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Theraphysical, LLC

  • Physical Therapy Clinic/Center
  • Lyndhurst, NJ
  • NPI 1134463235
  Medicare reassignment Care Compare group NPD
• Theraphysical, LLC

  • Physical Therapist
  • Garfield, NJ
  • NPI 1821694670
  NPD

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

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1184476947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 STEVENS AVE # 1",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073051314",
            "telephone_number": "551-655-5535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 OUTWATER LN",
            "city": "GARFIELD",
            "state": "NJ",
            "postal_code": "070262629",
            "telephone_number": "973-955-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUDER",
        "first_name": "JUSTIN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01152800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Dutil, DSW, LCSW
• Marek K Dziarmaga, DDS
• Joanna Enriquez, APN
• Everas Community Services, Inc.
• Family Eye Health & Vision Center LLC
• Fidelity Care,Inc
• Richard E Filipek, DPM
• Janine Monserrat Flores, DOULA
• Daisy Garcia
• Garfield Dental Associates P.a.

• Occupational Therapist in Garfield, NJ
• Providers in Garfield, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.