Active NPI
Charles Stefanowitz, OTR/L
- Occupational Therapist
- Oakhurst, NJ
National Provider Identifier
1245855634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR00922600
- Practice address
- 2005 Route 35 Ste 21
Oakhurst, NJ 07755-2763 - Phone
- (732) 663-9030
- Fax
- (732) 508-9317
- NPI assigned
- Jun 11, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 46TR00922600 | NJ | Primary |
Addresses
Primary practice location
2005 Route 35 Ste 21
Oakhurst, NJ 07755-2763
Mailing address
2005 Route 35 Ste 21
Oakhurst, NJ 07755-2763
Phone (732) 663-9030
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591833600000",
"number": "1245855634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2005 ROUTE 35 STE 21",
"city": "OAKHURST",
"state": "NJ",
"postal_code": "077552763",
"telephone_number": "732-663-9030",
"fax_number": "732-508-9317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2005 ROUTE 35 STE 21",
"city": "OAKHURST",
"state": "NJ",
"postal_code": "077552763",
"telephone_number": "732-663-9030",
"fax_number": "732-508-9317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEFANOWITZ",
"first_name": "CHARLES",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-11",
"last_updated": "2020-06-11",
"certification_date": "2020-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR00922600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakhurst, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.