Individual provider Active NPI

Wangui N Njoroge, OTR

  • Occupational Therapist
  • Montclair, NJ
National Provider Identifier
1265551907
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TROO395900 Issued in NJ
Practice address
69 Alexander Ave
Montclair, NJ 07043-2629
Phone
(973) 953-3340
NPI assigned
Mar 27, 2007
Last updated
Jul 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 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 46TROO395900 NJ Primary

Addresses

Primary practice location

69 Alexander Ave
Montclair, NJ 07043-2629

Mailing address

69 Alexander Ave
Montclair, NJ 07043-2629
Phone (973) 953-3340

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170612000871 NJ Practitioner - Occupational Therapist in Private Practice 6507134392 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

69 Alexander Ave
Montclair, NJ 07043-2629
Phone (973) 953-3340

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TROO395900NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Physical Therapy and Rehabilitation Service PC CurrentSince Feb 18, 2025 Accepting new patients
Compassion Care Home Health Services LLC CurrentSince May 24, 2016 Accepting new patients
Kinetic Home Therapy Services LLC CurrentSince Dec 6, 2023 Accepting new patients
Cura Medical Group LLC PastSince Feb 18, 2025 Accepting new patients

Locations

34 Union Ave
Irvington, NJ 07111
Phone (551) 358-7382

34 Union Ave
Fl 1
Irvington, NJ 07111
Phone (862) 772-3797

Organizations & group practices 5

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": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1265551907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 ALEXANDER AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070432629",
            "telephone_number": "973-953-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 ALEXANDER AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070432629",
            "telephone_number": "973-953-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NJOROGE",
        "first_name": "WANGUI",
        "middle_name": "N",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TROO395900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.

Verify at the official NPI Registry.