Individual provider Active NPI

Charles Stefanowitz, OTR/L

  • Occupational Therapist
  • Oakhurst, NJ
National Provider Identifier
1245855634
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00922600 Issued in NJ
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

Updated by the provider on Jun 11, 2020

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 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.

Verify at the official NPI Registry.