Individual provider Active NPI

Cynthia V. Principato, OTR, CHT

  • Occupational Therapist
  • Bridgewater, NJ
National Provider Identifier
1295768505
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
40TR00206600 Issued in NJ
Practice address
1081 Route 22 Ste 204
Bridgewater, NJ 08807-2921
Phone
(732) 427-8171
Fax
(732) 855-9755
NPI assigned
Jul 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 46TR00206600 NJ
Occupational Therapist 225X00000X 40TR00206600 NJ Primary

Addresses

Primary practice location

1081 Route 22 Ste 204
Bridgewater, NJ 08807-2921

Mailing address

PO Box 1014
Clark, NJ 07066-1014
Phone (732) 855-9751

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040507000796 NJ Practitioner - Occupational Therapist in Private Practice 9133118953 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40TR00206600NJMDOccupational Therapist
46TR00206600NJMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Boro Physical Therapy Associates PA Occupational Therapist CurrentSince Mar 22, 1999 Accepting new patients
Twin Boro Physical Therapy Associates, PA Occupational Therapist CurrentSince Mar 22, 1999 Accepting new patients
Pro Staff Physical Therapy PC Occupational Therapist CurrentSince Apr 28, 2022 Accepting new patients

Locations

1081 US Highway 22
Ste 204
Bridgewater, NJ 08807
Phone (732) 427-8171

935 Allwood Rd
Fl First
Clifton, NJ 07012
Phone (973) 928-3590

20 Commerce Dr
Ste 210
Cranford, NJ 07016

49 Claremont Ave
Ste 5
Montclair, NJ 07042
Phone (973) 680-8390

2050 State Route 27
Ste 107
North Brunswick, NJ 08902
Phone (732) 745-2727

265 Franklin Ave
Nutley, NJ 07110
Phone (973) 661-0500

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1295768505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1014",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661014",
            "telephone_number": "732-855-9751",
            "fax_number": "732-855-9755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1081 ROUTE 22 STE 204",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072921",
            "telephone_number": "732-427-8171",
            "fax_number": "732-855-9755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINCIPATO",
        "first_name": "CYNTHIA",
        "middle_name": "V.",
        "credential": "OTR, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NJ",
            "license": "46TR00206600",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "40TR00206600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; 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.