Individual provider Active NPI

Nevenka Lasota, MS OTR/L

  • Contractor
  • Hazlet, NJ
National Provider Identifier
1184999849
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
014381 Issued in NY
Practice address
1 Bethany Rd Ste 64
Hazlet, NJ 07730-1667
Phone
(732) 335-4030
NPI assigned
Mar 14, 2012
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 014381 NY Primary

Addresses

Primary practice location

1 Bethany Rd Ste 64
Hazlet, NJ 07730-1667

Mailing address

1 Bethany Rd Ste 64
Hazlet, NJ 07730-1667
Phone (732) 335-4030

Other practice location 1

13870 Elder Ave Apt 7L
Flushing, NY 11355-6013
Phone (718) 640-3161

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
014381NYMDContractor

Practice roles

OrganizationSpecialtyStatusNew patients
Tender Touch Occupational Therapy Past Accepting new patients

Organizations & group practices 1

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": "1331683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1184999849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BETHANY RD STE 64",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301667",
            "telephone_number": "732-335-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BETHANY RD STE 64",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301667",
            "telephone_number": "732-335-4030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13870 Elder Ave Apt 7L",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113556013",
            "country_code": "US",
            "telephone_number": "718-640-3161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LASOTA",
        "first_name": "NEVENKA",
        "name_prefix": "Mrs.",
        "credential": "MS OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NY",
            "license": "014381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazlet, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.