Individual provider Active NPI

Andrea Rose Delmonico, MS, OTR/L

  • Pediatric Occupational Therapist
  • Midland Park, NJ
National Provider Identifier
1396989075
Registry record updated Aug 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
46TR00411900 Issued in NJ
Practice address
700 Godwin Ave
Suite 120
Midland Park, NJ 07432-1444
Phone
(201) 447-0303
NPI assigned
Apr 27, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Neurorehabilitation Occupational Therapist 225XN1300X 46TR00411900 NJ
Pediatric Occupational Therapist 225XP0200X 014561-1 NY
Pediatric Occupational Therapist 225XP0200X 46TR00411900 NJ Primary
Neurorehabilitation Occupational Therapist 225XN1300X 014561-1 NY
Physical Rehabilitation Occupational Therapist 225XP0019X 46TR00411900 NJ
Physical Rehabilitation Occupational Therapist 225XP0019X 014561-1 NY
Gerontology Occupational Therapist 225XG0600X 014561-1 NY
Gerontology Occupational Therapist 225XG0600X 46TR00411900 NJ

Addresses

Primary practice location

700 Godwin Ave
Suite 120
Midland Park, NJ 07432-1444

Mailing address

700 Godwin Ave
Suite 120
Midland Park, NJ 07432-1444
Phone (201) 447-0303

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
46TR00411900NJMDGerontology Occupational Therapist
014561-1NYMDGerontology Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Abilities Network LLC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282608000000",
    "number": "1396989075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 GODWIN AVE",
            "address_2": "SUITE 120",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321444",
            "telephone_number": "201-447-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 GODWIN AVE",
            "address_2": "SUITE 120",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321444",
            "telephone_number": "201-447-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELMONICO",
        "first_name": "ANDREA",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-27",
        "last_updated": "2010-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "NJ",
            "license": "46TR00411900",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "014561-1",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NJ",
            "license": "46TR00411900",
            "primary": true
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "NY",
            "license": "014561-1",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NJ",
            "license": "46TR00411900",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NY",
            "license": "014561-1",
            "primary": false
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "NY",
            "license": "014561-1",
            "primary": false
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "NJ",
            "license": "46TR00411900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; 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.