Individual provider Active NPI

James Dahdouh

  • Occupational Therapist
  • Wayne, NJ
National Provider Identifier
1255933446
Registry record updated Aug 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00941300 Issued in NJ
Practice address
30 Winonah Ave
Wayne, NJ 07470-5939
Phone
(201) 344-2499
NPI assigned
Nov 12, 2020
Last updated
Aug 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2021

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 46TR00941300 NJ Primary

Addresses

Primary practice location

30 Winonah Ave
Wayne, NJ 07470-5939

Mailing address

30 Winonah Ave
Wayne, NJ 07470-5939
Phone (201) 344-2499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201125000007 NJ Practitioner - Occupational Therapist in Private Practice 8022429984 Reassigns benefits to 4 organizations
Practice locations: Clifton, NJ; Wayne, NJ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR00941300NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Physical Therapy LLC Occupational Therapist CurrentSince Apr 15, 2025 Accepting new patients
Fox Rehabilitation Services Inc Occupational Therapist CurrentSince Nov 1, 2020 Accepting new patients
Mobilitymod Solutions Occupational Therapist CurrentSince Sep 6, 2025 Accepting new patients
Ignite Rehab Corp Occupational Therapist CurrentSince Jun 1, 2022 Accepting new patients

Locations

872 E Main St
Bridgewater, NJ 08807
Phone (908) 725-2995

7 Carnegie Plz
Cherry Hill, NJ 08003

1003 Main Ave
Clifton, NJ 07011
Phone (201) 344-2499

407 W Delilah Rd
Pleasantville, NJ 08232
Phone (609) 289-2331

800 E Gate Blvd
Garden City, NY 11530

Organizations & group practices 4

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": "1605139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628899200000",
    "number": "1255933446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 WINONAH AVE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074705939",
            "telephone_number": "201-344-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 WINONAH AVE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074705939",
            "telephone_number": "201-344-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHDOUH",
        "first_name": "JAMES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-12",
        "last_updated": "2021-08-14",
        "certification_date": "2021-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00941300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.