Individual provider Active NPI

Priscilla Alexandria Fodi

  • Occupational Therapist
  • Paramus, NJ
National Provider Identifier
1346956083
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR01103900 Issued in NJ
Practice address
140 NJ-17 N
Paramus, NJ 07652
Phone
(201) 261-4343
NPI assigned
Jan 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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 46TR01103900 NJ Primary

Addresses

Primary practice location

140 NJ-17 N
Paramus, NJ 07652

Mailing address

10 Luke LN
North Haledon, NJ 07508-2581

Other practice location 1

40 Galesi Dr Ste 5B
Wayne, NJ 07470-4841
Phone (973) 837-8722

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230301001073 NJ Practitioner - Occupational Therapist in Private Practice 7012380678 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR01103900NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Excellent Homecare of NJ LLC CurrentSince May 15, 2024 Accepting new patients
Sportscare of America, PC CurrentSince Jan 16, 2023 Accepting new patients
United Sports Care & Physical Therapy Occupational Therapist CurrentSince Jan 16, 2023 Accepting new patients

Locations

47 S Washington Ave
Bergenfield, NJ 07621
Phone (201) 384-2525

1161 Burnt Tavern Rd
Brick, NJ 08724
Phone (732) 458-1255

197 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (973) 292-0700

218 Ridgedale Ave
Ste 204
Cedar Knolls, NJ 07927
Phone (973) 359-0777

140 N Route 17
Ste 272
Paramus, NJ 07652
Phone (201) 261-4343

80 Oak Hill Rd
Red Bank, NJ 07701
Phone (732) 741-2313

111 W Water St
Toms River, NJ 08753
Phone (732) 473-9440

40 Galesi Dr
Ste 5B
Wayne, NJ 07470
Phone (973) 837-8722

Organizations & group practices 3

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": "1674691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1346956083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 LUKE LN",
            "city": "NORTH HALEDON",
            "state": "NJ",
            "postal_code": "075082581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 NJ-17 N",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "07652",
            "telephone_number": "201-261-4343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Galesi Dr Ste 5B",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "NJ",
            "postal_code": "074704841",
            "country_code": "US",
            "telephone_number": "973-837-8722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FODI",
        "first_name": "PRISCILLA",
        "middle_name": "ALEXANDRIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-26",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01103900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.