Individual provider Active NPI

Danielle Jakubik

  • Pediatric Occupational Therapist
  • Livingston, NJ
National Provider Identifier
1235604802
Registry record updated Oct 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Practice address
51 Old Rd
Livingston, NJ 07039-2515
Phone
(973) 740-2353
NPI assigned
Oct 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2018

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 Primary

Addresses

Primary practice location

51 Old Rd
Livingston, NJ 07039-2515

Mailing address

250 Bloomingdale Ave
Cranford, NJ 07016-2562
Phone (908) 418-2518

Other practice location 1

123 N Union Ave Ste 204A
Cranford, NJ 07016-2198
Phone (908) 653-0300

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

NPI Registry JSON

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539043200000",
    "number": "1235604802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 BLOOMINGDALE AVE",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070162562",
            "telephone_number": "908-418-2518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 OLD RD",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070392515",
            "telephone_number": "973-740-2353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 N Union Ave Ste 204A",
            "address_purpose": "LOCATION",
            "city": "Cranford",
            "state": "NJ",
            "postal_code": "070162198",
            "country_code": "US",
            "telephone_number": "908-653-0300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAKUBIK",
        "first_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-09",
        "last_updated": "2018-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.