Individual provider Active NPI

Grace Nassereddine, MOT, OTR/L

  • Occupational Therapist
  • Morganville, NJ
National Provider Identifier
1235603317
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00857100 Issued in NJ
Practice address
45 Guest Dr
Morganville, NJ 07751-1473
Phone
(908) 380-8765
NPI assigned
Jan 11, 2019
Last updated
Apr 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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 46TR00857100 NJ Primary

Addresses

Primary practice location

45 Guest Dr
Morganville, NJ 07751-1473

Mailing address

45 Guest Dr
Morganville, NJ 07751-1473

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR00857100NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Enjoy Jersey Services LLC Occupational Therapist CurrentSince Nov 17, 2024 Accepting new patients
All.Things.OT LLC Occupational Therapist CurrentSince Apr 27, 2025 Accepting new patients

Locations

305 Bayonne Crossing Way
Bayonne, NJ 07002
Phone (201) 642-2894

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": "1547164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1235603317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 GUEST DR",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077511473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 GUEST DR",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077511473",
            "telephone_number": "908-380-8765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSEREDDINE",
        "first_name": "GRACE",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-11",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00857100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.