Individual provider Active NPI

Susan Smith-Foley

  • Pediatric Occupational Therapist
  • Avon by the Sea, NJ
National Provider Identifier
1215333083
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
46TR00137700 Issued in NJ
Practice address
400 Woodland Ave
Avon by the Sea, NJ 07717-1141
Phone
(732) 988-3444
Fax
(732) 988-3444
NPI assigned
Nov 6, 2014
Last updated
Nov 6, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 46TR00137700 NJ Primary

Addresses

Primary practice location

400 Woodland Ave
Avon by the Sea, NJ 07717-1141

Mailing address

400 Woodland Ave
Avon by the Sea, NJ 07717-1141
Phone (732) 988-3444

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

State licenses

LicenseStateTypeSpecialty
46TR00137700NJMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Development Medical of New Jersey PC Past Accepting new patients
Avon Occupational Therapy, Inc. Pediatrics Past Accepting new patients

Organizations & group practices 2

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": "1415232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1215333083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WOODLAND AVE",
            "city": "AVON BY THE SEA",
            "state": "NJ",
            "postal_code": "077171141",
            "telephone_number": "732-988-3444",
            "fax_number": "732-988-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WOODLAND AVE",
            "city": "AVON BY THE SEA",
            "state": "NJ",
            "postal_code": "077171141",
            "telephone_number": "732-988-3444",
            "fax_number": "732-988-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-FOLEY",
        "first_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-06",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NJ",
            "license": "46TR00137700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon by the Sea, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.