Kimberly Camerlengo, OCCUPATIONAL THERAPI

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00423200 Issued in NJ

Practice address

21 Maple Ave
East Hanover, NJ 07936-1547

Phone

(973) 941-8205

NPI assigned

Oct 16, 2019

Last updated

Oct 16, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Patient Care Specialty Group PC

  • Family Medicine Physician
  • Edison, NJ
  • NPI 1477213106
  Medicare reassignment NPD
• Functional Freedom Mobile Therapy LLC

  • Occupational Therapist
  • East Hanover, NJ
  • NPI 1801413604
  Authorized official Same address or phone

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1417599929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 MAPLE AVE",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079361547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 MAPLE AVE",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079361547",
            "telephone_number": "973-941-8205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMERLENGO",
        "first_name": "KIMBERLY",
        "name_prefix": "Mrs.",
        "credential": "OCCUPATIONAL THERAPI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00423200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Manuel Bregna, PHARMD/MBA
• Morgan Buckley, MSOT
• Matthew Budesheim
• Katelyn Budhai
• Wazim Buksh, MD
• Irene M Candelaria
• Donna Jean Cantalupo, D.C.
• Matthew Canzonieri
• Lindsey Capalbo, LAC
• Cassidy Caputo

• Occupational Therapist in East Hanover, NJ
• Providers in East Hanover, 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 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.