Active NPI
Dorothy Ladyzhensky, OTD
- Occupational Therapist
- Riverdale, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR01047300
- Practice address
- 7 Newark Pompton Tpke
Riverdale, NJ 07457-1142 - Phone
- (973) 831-1100
- NPI assigned
- Mar 9, 2022
- 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 |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 46TR01047300 | NJ | |
| Occupational Therapist | 225X00000X | 46TR01047300 | NJ | Primary |
Addresses
Primary practice location
7 Newark Pompton Tpke
Riverdale, NJ 07457-1142
Mailing address
62 Beard St
Staten Island, NY 10314-6241
Phone (718) 883-9266
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
55 -77 Schanck Rd
Suite B 17
Freehold, NJ 07728-2964
Phone (732) 414-6060
77 Schanck Rd
Freehold, NJ 07728-2964
77 Schanck Rd B
Suite 17
Freehold, NJ 07728-2964
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garden State Physical Therapy Group PC | Current | Accepting new patients | |
| Cornerstone Chiropractic & Rehabilitation Center, LLC | Current | Accepting new patients | |
| Cornerstone Medical Procedures LLC | Current | Accepting new patients |
Locations
45A Washington Ave
Carteret, NJ 07008
Phone (732) 969-3480
77 Schanck Rd
Ste B-17
Freehold, NJ 07728
Phone (201) 871-4000
25 E Willow St
Ste A
Millburn, NJ 07041
7 Newark Pompton Tpke
Riverdale, NJ 07457
Phone (973) 831-1100
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Freehold, NJ
- NPI 1801274022
-
- Chiropractor
- Riverdale, NJ
- NPI 1508065236
-
- Medical Specialty Clinic/Center
- Riverdale, NJ
- NPI 1205509460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646784000000",
"number": "1265189294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 BEARD ST",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103146241",
"telephone_number": "718-883-9266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 NEWARK POMPTON TPKE",
"city": "RIVERDALE",
"state": "NJ",
"postal_code": "074571142",
"telephone_number": "973-831-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LADYZHENSKY",
"first_name": "DOROTHY",
"credential": "OTD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-09",
"last_updated": "2022-03-09",
"certification_date": "2022-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "NJ",
"license": "46TR01047300",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR01047300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverdale, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.