Individual provider Active NPI

Rena B Kaminetzky

  • Occupational Therapist
  • Hillside, NJ
National Provider Identifier
1366859696
Registry record updated Jul 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
194 Nottingham Way
Hillside, NJ 07205-2943
Phone
(908) 451-4169
NPI assigned
Jul 18, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2014

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 Primary

Addresses

Primary practice location

194 Nottingham Way
Hillside, NJ 07205-2943

Mailing address

194 Nottingham Way
Hillside, NJ 07205-2943
Phone (908) 451-4169

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140904002060 NJ Practitioner - Occupational Therapist in Private Practice 3779701750 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Py Physician Services LLCGroup PAC ID 6204201916, 4 clinicians
Integrative Rehabilitation LLCGroup PAC ID 8123505302, 13 clinicians

Practice addresses (Care Compare)

1155 E Jersey St
Elizabeth, NJ 07201-2310
Phone (908) 352-9200

62 James St
Edison, NJ 08820-3988
Phone (732) 399-9700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
At Home by Enhance Therapies LLC Occupational Therapist CurrentSince Apr 1, 2023 Accepting new patients
Py Physician Services LLC CurrentSince Jun 15, 2024 Accepting new patients
Link Home Services of NJ LLC CurrentSince Sep 1, 2020 Accepting new patients

Locations

1155 E Jersey St
Elizabeth, NJ 07201
Phone (732) 987-5122

180 Sylvan Ave
Ste 401
Englewood Cliffs, NJ 07632
Phone (347) 841-8943

516 Sylvan Ave
Englewood Cliffs, NJ 07632

411 Hackensack Ave
Ste 200
Hackensack, NJ 07601
Phone (732) 987-3833

400 Route 70
Lakewood, NJ 08701
Phone (732) 802-7512

65 Jay St
#C
Newark, NJ 07103
Phone (973) 483-6800

Organizations & group practices 4

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": "1405641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405900800000",
    "number": "1366859696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 NOTTINGHAM WAY",
            "city": "HILLSIDE",
            "state": "NJ",
            "postal_code": "072052943",
            "telephone_number": "908-451-4169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 NOTTINGHAM WAY",
            "city": "HILLSIDE",
            "state": "NJ",
            "postal_code": "072052943",
            "telephone_number": "908-451-4169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMINETZKY",
        "first_name": "RENA",
        "middle_name": "B",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-18",
        "last_updated": "2014-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillside, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; 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.