Shana Marie Gjelsvik

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

46TR00279800 Issued in NJ

Practice address

22 Linden Ave
Stanhope, NJ 07874

Phone

(973) 347-5519

NPI assigned

Jul 2, 2008

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

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": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1457514218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 RIDGE RD",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "078761841",
            "telephone_number": "973-886-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 LINDEN AVE",
            "city": "STANHOPE",
            "state": "NJ",
            "postal_code": "07874",
            "telephone_number": "973-347-5519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GJELSVIK",
        "first_name": "SHANA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NJ",
            "license": "46TR00279800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magdalena Dziopko, LMT, LE
• Maureen Finnan, RPH
• Ryan Christopher Fox, PHARMD
• Samantha Frank, PA-C
• Denise Gaccione, LCSW
• Chantel Guerci, RN
• Nicole Lynn Gullotta, DPT
• Thereza Radice Hernandez, LPC
• William Holdsworth, D.C.
• Hopeful Horizons Counseling LLC

• All providers in Stanhope, NJ
• Pediatric Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.