Active NPI
Ava Benedita Hostetler, MS, OTR/L
- Occupational Therapist
- Cedar Grove, NJ
National Provider Identifier
1316249683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR00536300
- Practice address
- 398 Pompton Ave
Cedar Grove, NJ 07009-1813 - Phone
- (973) 239-7600
- NPI assigned
- Nov 18, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 46TR00536300 | NJ | Primary |
| Occupational Therapist | 225X00000X | 0119005165 | VA |
Addresses
Primary practice location
398 Pompton Ave
Cedar Grove, NJ 07009-1813
Mailing address
398 Pompton Ave
Cedar Grove, NJ 07009-1813
Phone (973) 239-7600
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR00536300 | NJ | MD | Occupational Therapist |
| 0119005165 | VA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290038400000",
"number": "1316249683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "398 POMPTON AVE",
"city": "CEDAR GROVE",
"state": "NJ",
"postal_code": "070091813",
"telephone_number": "973-239-7600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "398 POMPTON AVE",
"city": "CEDAR GROVE",
"state": "NJ",
"postal_code": "070091813",
"telephone_number": "973-239-7600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOSTETLER",
"first_name": "AVA",
"middle_name": "BENEDITA",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-18",
"last_updated": "2010-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR00536300",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119005165",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Grove, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.