Justin Roldan, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR01120600 Issued in NJ

Practice address

7 E Main St
Tuckerton, NJ 08087-2615

Phone

(609) 296-0440

Fax

(609) 812-5112

NPI assigned

Apr 12, 2023

Sex

Male

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.

• Busy Bees Kid's Speech Therapy

  dba Busy Bees Kid's Therapy

  • Speech-Language Pathologist
  • Little Egg Harbor TWP, NJ
  • NPI 1033765300

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1427744663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 510",
            "city": "TUCKERTON",
            "state": "NJ",
            "postal_code": "080870510",
            "telephone_number": "609-296-0440",
            "fax_number": "609-812-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 E MAIN ST",
            "city": "TUCKERTON",
            "state": "NJ",
            "postal_code": "080872615",
            "telephone_number": "609-296-0440",
            "fax_number": "609-812-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLDAN",
        "first_name": "JUSTIN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01120600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald P Petrosky, DDS
• Pinelands Chiropractic Center
• Dianne B Pulido, ATC
• Melissa Rivera, LAC
• Mary R. Roberts, PH.D.
• Kimberly Sirolli
• Ashley R Stackhouse
• The Arc Ocean County Chapter, Inc. (Adult Training Center Tuckerton)
• Three Rivers Services
• Kaitlyn Tweed, OT

• Occupational Therapist in Tuckerton, NJ
• Providers in Tuckerton, 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 Apr 12, 2023; 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.