Emily Lauren Pellicano, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR01204700 Issued in NJ

Practice address

377 Union Ave
Bridgewater, NJ 08807-3108

Phone

(908) 725-2366

NPI assigned

Oct 4, 2024

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Somerset Childrens Center

  • Developmental Disabilities Clinic/Center
  • Bridgewater, NJ
  • NPI 1902933658
  NPD (past)

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

{
    "created_epoch": "1728000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1386463685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 3RD ST",
            "city": "DUNELLEN",
            "state": "NJ",
            "postal_code": "088121146",
            "telephone_number": "732-336-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 UNION AVE",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088073108",
            "telephone_number": "908-725-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLICANO",
        "first_name": "EMILY",
        "middle_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-04",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01204700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Phillips Eye & Surgery Center PC
• Pearle Vision
• Kerry A Pearson-Sanders, MA, LMFT
• Pediahealth Medical Associates,PA
• Pediatric and Adolescent Care Associates
• Joddie Pelofsky, SLP
• Alison Lyn Penna, M.S. CCC-SLP
• Justin Scott Penna, CCC-SLP
• Brett Peppe, MA, LPC, LCADC
• Vicki Perez, LPC

• Occupational Therapist in Bridgewater, NJ
• Providers in Bridgewater, 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 Oct 4, 2024; 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.