Individual provider Active NPI

Asmita M Asegaonkar, MSOTRL

  • Occupational Therapist
  • Jersey City, NJ
National Provider Identifier
1255853743
Registry record updated Jul 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00519300 Issued in NJ
Practice address
361 Montgomery St
Jersey City, NJ 07302-3345
Phone
(201) 932-2656
Fax
(201) 603-2454
NPI assigned
Jul 17, 2017
Last updated
Jul 17, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2017

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 46TR00519300 NJ Primary

Addresses

Primary practice location

361 Montgomery St
Jersey City, NJ 07302-3345

Mailing address

361 Montgomery St
Jersey City, NJ 07302-3345
Phone (201) 932-2656

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
46TR00519300NJMDOccupational Therapist
020722NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rapha Physical Therapy LLC CurrentSince Mar 1, 2020 Accepting new patients
Holsman Physical and Occupational Therapy PC Occupational Therapist CurrentSince Jul 17, 2017 Accepting new patients
Holsman PT Rehabilitation PC Occupational Therapist Past Accepting new patients

Locations

1070 Clifton Ave
Ste 1A
Clifton, NJ 07013
Phone (973) 246-6565

361 Montgomery St
Jersey City, NJ 07302
Phone (201) 932-2656

711 Kearny Ave
#2
Kearny, NJ 07032
Phone (201) 535-8555

1600 Saint Georges Ave
Ste 107
Rahway, NJ 07065
Phone (732) 428-5566

Organizations & group practices 3

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": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500249600000",
    "number": "1255853743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 MONTGOMERY ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023345",
            "telephone_number": "201-932-2656",
            "fax_number": "201-603-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 MONTGOMERY ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023345",
            "telephone_number": "201-932-2656",
            "fax_number": "201-603-2454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASEGAONKAR",
        "first_name": "ASMITA",
        "middle_name": "M",
        "name_prefix": "Miss",
        "credential": "MSOTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-17",
        "last_updated": "2017-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00519300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2017; 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.