Active NPI
Nicole Haberger, OTR/L
- Occupational Therapist
- Hoboken, NJ
National Provider Identifier
1386192722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 020607
- Practice address
- 1011 Park Ave Apt 1L
Hoboken, NJ 07030-4317 - Phone
- (508) 785-5507
- NPI assigned
- Sep 14, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 020607 | NY | Primary |
Addresses
Primary practice location
1011 Park Ave Apt 1L
Hoboken, NJ 07030-4317
Mailing address
1011 Park Ave Apt 1L
Hoboken, NJ 07030-4317
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020607 | NY | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473811200000",
"number": "1386192722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 PARK AVE APT 1L",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070304317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 PARK AVE APT 1L",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070304317",
"telephone_number": "508-785-5507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HABERGER",
"first_name": "NICOLE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-14",
"last_updated": "2016-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "020607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hoboken, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.