Active NPI
Elisa C Di Zeo, OTR-L
- Occupational Therapist
- Matawan, NJ
National Provider Identifier
1295581171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR01178500
- Practice address
- 144 State Route 34
Matawan, NJ 07747-2132 - Phone
- (732) 320-6285
- Fax
- (732) 374-9864
- NPI assigned
- Apr 30, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 46TR01178500 | NJ | Primary |
Addresses
Primary practice location
144 State Route 34
Matawan, NJ 07747-2132
Mailing address
144 State Route 34
Matawan, NJ 07747-2132
Phone (732) 320-6285
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, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
144 Hwy 34
Matawan, NJ 07747-2132
Phone (732) 320-6285
144 TR
Suite 344
Matawan, NJ 07747-2132
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR01178500 | NJ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Old Bridge Spine & Wellness Center,PA | Current | Accepting new patients |
Locations
144 State Route 34
Matawan, NJ 07747
Phone (732) 316-5895
Organizations & group practices 1
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.
-
- Rehabilitation Chiropractor
- Matawan, NJ
- NPI 1487885141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1295581171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 STATE ROUTE 34",
"city": "MATAWAN",
"state": "NJ",
"postal_code": "077472132",
"telephone_number": "732-320-6285",
"fax_number": "732-374-9864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 STATE ROUTE 34",
"city": "MATAWAN",
"state": "NJ",
"postal_code": "077472132",
"telephone_number": "732-320-6285",
"fax_number": "732-374-9864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DI ZEO",
"first_name": "ELISA",
"middle_name": "C",
"credential": "OTR-L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-30",
"last_updated": "2024-04-30",
"certification_date": "2024-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR01178500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Matawan, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.