Active NPI
Shoshana Simon
- Occupational Therapist
- Lakewood, NJ
National Provider Identifier
1396120143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR00671700
- Practice address
- 320 8TH St
Apt 2
Lakewood, NJ 08701-2871 - Phone
- (732) 674-8252
- NPI assigned
- Jul 22, 2015
- Last updated
- Jul 22, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 46TR00671700 | NJ | Primary |
Addresses
Primary practice location
320 8TH St
Apt 2
Lakewood, NJ 08701-2871
Mailing address
320 8TH St
Apt 2
Lakewood, NJ 08701-2871
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 |
|---|---|---|---|
| 46TR00671700 | NJ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Success Therapy LLC | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437523200000",
"number": "1396120143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 8TH ST",
"address_2": "APT 2",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087012871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 8TH ST",
"address_2": "APT 2",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087012871",
"telephone_number": "732-674-8252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMON",
"first_name": "SHOSHANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-22",
"last_updated": "2015-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR00671700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.