Kimberly Susan Aiello, MSOT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00401700 Issued in NJ

Practice address

17 Crest Dr
Midland Park, NJ 07432-1312

Phone

(201) 410-1756

NPI assigned

Mar 18, 2019

Sex

Female

Sole proprietor

Yes

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

Enrolled in NJ

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2005

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Baker Street Behavioral Health

  • Clinical Psychologist
  • Franklin Lakes, NJ
  • NPI 1659841096
  Medicare reassignment NPD
• Sprouts Occupational Therapy LLC

  • Occupational Therapist
  • Midland Park, NJ
  • NPI 1013568237
  NPD Authorized official

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1346709334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 CREST DR",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321312",
            "telephone_number": "201-280-1739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 CREST DR",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321312",
            "telephone_number": "201-410-1756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AIELLO",
        "first_name": "KIMBERLY",
        "middle_name": "SUSAN",
        "credential": "MSOT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-18",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00401700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Acme Markets Inc
• Deborah Martha Adams, RD
• Ricardo F Africa
• Saurabh Agarwal, MD
• Rachel Agnello, LCSW
• Alan Kooreman & Dawn Di Muro PTRS
• Krishna Anderson, PH. D.
• Alayna Andres
• Anne Lisciotto LCSW LLC
• Kathryn Ashbahian

• Occupational Therapist in Midland Park, NJ
• Providers in Midland Park, 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 Sep 30, 2019; 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.