Active NPI
Nicole Yannette
- Occupational Therapist
- Garfield, NJ
National Provider Identifier
1447018098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3564
- Practice address
- 357 Semel Ave Apt 2
Garfield, NJ 07026-2126 - Phone
- (201) 414-4498
- NPI assigned
- Mar 8, 2024
- Last updated
- Apr 1, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 46TR01157200 | NJ | |
| Occupational Therapist | 225X00000X | 3564 | NH | Primary |
Addresses
Primary practice location
357 Semel Ave Apt 2
Garfield, NJ 07026-2126
Mailing address
357 Semel Ave Apt 2
Garfield, NJ 07026-2126
Phone (201) 414-4498
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3564 | NH | MD | Occupational Therapist |
| 46TR01157200 | NJ | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711929600000",
"number": "1447018098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "357 SEMEL AVE APT 2",
"city": "GARFIELD",
"state": "NJ",
"postal_code": "070262126",
"telephone_number": "201-414-4498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "357 SEMEL AVE APT 2",
"city": "GARFIELD",
"state": "NJ",
"postal_code": "070262126",
"telephone_number": "201-414-4498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANNETTE",
"first_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-08",
"last_updated": "2024-04-01",
"certification_date": "2024-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR01157200",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NH",
"license": "3564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.