Amy Ladetsky

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

46TR00446400 Issued in NJ

Practice address

25 Greenwood Drive
Millburn, NJ 07041

Phone

(646) 279-3905

NPI assigned

May 12, 2014

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": "1399852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399852800000",
    "number": "1457762577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 GREENWOOD DR",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411433",
            "telephone_number": "646-279-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 GREENWOOD DRIVE",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "07041",
            "telephone_number": "646-279-3905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADETSKY",
        "first_name": "AMY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-12",
        "last_updated": "2014-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NJ",
            "license": "46TR00446400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marusia E. Kushnir, D.M.D.
• Kye Co Internal & Rehabilitative Medicine, PA
• Amanda Labib, DO
• Kristen Labruna
• Laura A Labruno, APN
• Karen Joy Landsman, PHD
• Lawrence Brian Laveman, M.D.
• Alan Arthur Layton, DMD
• Leah Kopelan MD LLC
• Learningrx of Short Hills

• Pediatric Occupational Therapist in Millburn, NJ
• Providers in Millburn, 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 May 12, 2014; 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.