Individual provider Active NPI

Ellen L Persechino, O.T.R

  • Occupational Therapist
  • Chester, NJ
National Provider Identifier
1366885303
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00005400 Issued in NJ
Practice address
42 Oakdale Rd
Chester, NJ 07930-2208
Phone
(908) 879-4292
Fax
(908) 879-8422
NPI assigned
Apr 9, 2013
Last updated
Sep 26, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

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 46TR00005400 NJ Primary

Addresses

Primary practice location

42 Oakdale Rd
Chester, NJ 07930-2208

Mailing address

42 Oakdale Rd
Chester, NJ 07930-2208
Phone (908) 879-4292

Other names 1

  • Miss Ellen Hope Lipman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380153600000",
    "number": "1366885303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 OAKDALE RD",
            "city": "CHESTER",
            "state": "NJ",
            "postal_code": "079302208",
            "telephone_number": "908-879-4292",
            "fax_number": "908-879-8422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 OAKDALE RD",
            "city": "CHESTER",
            "state": "NJ",
            "postal_code": "079302208",
            "telephone_number": "908-879-4292",
            "fax_number": "908-879-8422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSECHINO",
        "first_name": "ELLEN",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "O.T.R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-09",
        "last_updated": "2013-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00005400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "LIPMAN",
            "middle_name": "HOPE",
            "prefix": "MISS",
            "credential": "O.T.R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chester, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.