Active NPI
Denver Dizon
- Occupational Therapy Assistant
- Jersey City, NJ
National Provider Identifier
1285294371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 46TA09118300
- Practice address
- 537 Pavonia Ave
Jersey City, NJ 07306-1803 - Phone
- (888) 560-5995
- NPI assigned
- Jun 19, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 46TA09118300 | NJ | Primary |
Addresses
Primary practice location
537 Pavonia Ave
Jersey City, NJ 07306-1803
Mailing address
38 Valley Rd
Clifton, NJ 07013-1030
Phone (201) 790-8467
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 |
|---|---|---|---|
| 46TA09118300 | NJ | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560902400000",
"number": "1285294371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 VALLEY RD",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070131030",
"telephone_number": "201-790-8467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "537 PAVONIA AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073061803",
"telephone_number": "888-560-5995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIZON",
"first_name": "DENVER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-19",
"last_updated": "2019-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NJ",
"license": "46TA09118300",
"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 Jun 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.