Individual provider Active NPI

Rebecca Stavis-Weyser

  • Physical Rehabilitation Occupational Therapist
  • Jersey City, NJ
National Provider Identifier
1306328182
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
46TR00843500 Issued in NJ
Practice address
550 Newark Ave Ste 304
Jersey City, NJ 07306-1356
Phone
(201) 795-1665
NPI assigned
Aug 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X 46TR00843500 NJ Primary

Addresses

Primary practice location

550 Newark Ave Ste 304
Jersey City, NJ 07306-1356

Mailing address

550 Newark Ave Ste 304
Jersey City, NJ 07306-1356

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181001000429 NJ Practitioner - Occupational Therapist in Private Practice 7113278219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Bell Wellness LLCGroup PAC ID 4880022524, 4 clinicians

Practice addresses (Care Compare)

101 Crawfords Corner Rd
Suite 1116D
Holmdel, NJ 07733-1977
Phone (732) 226-0018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR00843500NJMDPhysical Rehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurgical Associates of New Jersey, P.C. CurrentSince Dec 1, 2024 Accepting new patients
Generations Physical Medicine LLC CurrentSince Nov 13, 2023 Accepting new patients
Valley Physician Services PC Past Accepting new patients

Locations

101 Crawfords Corner Rd
Ste 1116D
Holmdel, NJ 07733
Phone (732) 226-0018

101 Crawfords Corner Rd
Ste 116B
Holmdel, NJ 07733

101 Crawfords Corner Rd
Ste 1116A
Holmdel, NJ 07733

14 Cherry Tree Farm Rd
Middletown, NJ 07748
Phone (732) 671-3535

1200 E Ridgewood Ave
Ste 200
Ridgewood, NJ 07450
Phone (201) 327-8600

121 State Route 36
Ste 330
West Long Branch, NJ 07764
Phone (732) 222-8866

Organizations & group practices 4

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": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1306328182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 NEWARK AVE STE 304",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 NEWARK AVE STE 304",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061356",
            "telephone_number": "201-795-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAVIS-WEYSER",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NJ",
            "license": "46TR00843500",
            "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 Aug 29, 2018; 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.