Jessica Robyn Dittami, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00417600 Issued in NJ

Practice address

536 Ridge Rd
Cedar Grove, NJ 07009-1611

Phone

(973) 239-9300

NPI assigned

Apr 10, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326261389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HARBORSIDE PL",
            "address_2": "APT. 353",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073113908",
            "telephone_number": "201-324-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 RIDGE RD",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091611",
            "telephone_number": "973-239-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITTAMI",
        "first_name": "JESSICA",
        "middle_name": "ROBYN",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00417600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Cedar Grove, NJ
• Providers in Cedar Grove, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.