Active NPI
Faige Wolk
- Occupational Therapist
- Lakewood, NJ
National Provider Identifier
1255731774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR00662200
- Practice address
- 879 Hearthstone Dr
Lakewood, NJ 08701-5515 - Phone
- (732) 994-7899
- NPI assigned
- Sep 3, 2014
- Last updated
- Dec 4, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 46TR00662200 | NJ | Primary |
| Behavior Technician | 106S00000X | NU |
Addresses
Primary practice location
879 Hearthstone Dr
Lakewood, NJ 08701-5515
Mailing address
5 Columbia CT
Jackson, NJ 08527-2305
Phone (718) 427-6981
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
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR00662200 | NJ | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733270400000",
"number": "1255731774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 COLUMBIA CT",
"city": "JACKSON",
"state": "NJ",
"postal_code": "085272305",
"telephone_number": "718-427-6981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "879 HEARTHSTONE DR",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087015515",
"telephone_number": "732-994-7899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLK",
"first_name": "FAIGE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-03",
"last_updated": "2024-12-04",
"certification_date": "2024-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR00662200",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.