Caren Lisa Herzog, OT

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

46TR00088800 Issued in NJ

Practice address

65 Bergen St
Room 601- Newark Therapy Services
Newark, NJ 07107-3001

Phone

(973) 972-0186

Fax

(973) 972-2645

NPI assigned

Apr 30, 2007

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

Other names 1

• Caren Lisa Livni Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437379567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 MOHAWK TRL",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074705030",
            "telephone_number": "973-449-4786",
            "fax_number": "973-839-6921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 BERGEN ST",
            "address_2": "ROOM 601- NEWARK THERAPY SERVICES",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071073001",
            "telephone_number": "973-972-0186",
            "fax_number": "973-972-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERZOG",
        "first_name": "CAREN",
        "middle_name": "LISA",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NJ",
            "license": "46TR00088800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAREN",
            "last_name": "LIVNI",
            "middle_name": "LISA",
            "credential": "OT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Iris C. Herrera, M.D.
• Victor Herrera, FNP
• Kenadeed Hersi, MD
• Alyssa Hertzberg
• Sara Lis Herzberg, MD
• Isabel Herzog
• Aisha Heslop
• Amgad Aly Hessein, MD
• Nicole Hessing, LCSW
• Heykaypee Homes LLC

• Pediatric Occupational Therapist in Newark, NJ
• Providers in Newark, NJ by specialty
• Pediatric Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.