Individual provider Active NPI

Mindy Dauber

  • Occupational Therapist
  • Hackensack, NJ
National Provider Identifier
1427833029
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00284800 Issued in NJ
Practice address
185 Prospect Ave Apt 10B
Hackensack, NJ 07601-2226
Phone
(201) 264-5464
NPI assigned
Aug 30, 2023
Last updated
Mar 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00284800 NJ Primary

Addresses

Primary practice location

185 Prospect Ave Apt 10B
Hackensack, NJ 07601-2226

Mailing address

185 Prospect Ave Apt 10B
Hackensack, NJ 07601-2226
Phone (201) 264-5464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231120002418 NY Practitioner - Occupational Therapist in Private Practice 0446608038 Reassigns benefits to 1 organization
I20240429002067 NJ Practitioner - Occupational Therapist in Private Practice 0446608038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Rehabilitation Services IncGroup PAC ID 0143133009, 1,169 clinicians

Practice addresses (Care Compare)

872 E Main St
Bridgewater, NJ 08807-3395
Phone (877) 407-3422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Esd PT OT & SLP PLLC Occupational Therapist CurrentSince Nov 1, 2023 Accepting new patients
Fox Rehabilitation Services Inc Occupational Therapist CurrentSince Apr 1, 2024 Accepting new patients

Locations

872 E Main St
Bridgewater, NJ 08807
Phone (908) 725-2995

7 Carnegie Plz
Cherry Hill, NJ 08003

407 W Delilah Rd
Pleasantville, NJ 08232
Phone (609) 289-2331

2632 Atlantic Ave
Brooklyn, NY 11207
Phone (718) 473-3803

Organizations & group practices 2

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": "1693353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1427833029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 PROSPECT AVE APT 10B",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012226",
            "telephone_number": "201-264-5464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 PROSPECT AVE APT 10B",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012226",
            "telephone_number": "201-264-5464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUBER",
        "first_name": "MINDY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-30",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00284800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.