Individual provider Active NPI

Jessica Jozefiak

  • Occupational Therapist
  • Fort Lee, NJ
National Provider Identifier
1346072303
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00993400 Issued in NJ
Practice address
1622 Parker Ave Ste 2B
Fort Lee, NJ 07024-6927
Phone
(201) 592-0800
NPI assigned
Aug 19, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00993400 NJ Primary

Addresses

Primary practice location

1622 Parker Ave Ste 2B
Fort Lee, NJ 07024-6927

Mailing address

925 Willow Ave Apt 5R
Hoboken, NJ 07030-3010
Phone (267) 614-6856

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240826002794 NJ Practitioner - Occupational Therapist in Private Practice 8426597105 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Spine and Sports Care of Paramus CorporationGroup PAC ID 5294271128, 2 clinicians

Practice addresses (Care Compare)

37 W Century Rd
Suite 111
Paramus, NJ 07652-1466
Phone (201) 563-7095

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Spine and Sports Care of Paramus Corporation CurrentSince Jan 27, 2025 Accepting new patients
Elite Spine and Sports Care of Fort Lee PC CurrentSince Aug 19, 2024 Accepting new patients

Locations

37 W Century Rd
Ste 111
Paramus, NJ 07652
Phone (201) 262-2244

Organizations & group practices 2

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": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1346072303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 WILLOW AVE APT 5R",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070303010",
            "telephone_number": "267-614-6856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 PARKER AVE STE 2B",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246927",
            "telephone_number": "201-592-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOZEFIAK",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00993400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lee, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.

Verify at the official NPI Registry.