Individual provider Active NPI

Brenda Hocamis Calinawan

  • Occupational Therapist
  • Roselle Park, NJ
National Provider Identifier
1457945123
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00408600 Issued in NJ
Practice address
7 Charles St Apt 7B
Roselle Park, NJ 07204-2242
Phone
(908) 656-0511
NPI assigned
Feb 23, 2021
Last updated
Feb 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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 46TR00408600 NJ Primary

Addresses

Primary practice location

7 Charles St Apt 7B
Roselle Park, NJ 07204-2242

Mailing address

7 Charles St Apt 7B
Roselle Park, NJ 07204-2242
Phone (908) 656-0511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210303002901 NJ Practitioner - Occupational Therapist in Private Practice 6507272291 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bridgeway Care at Home LLCGroup PAC ID 6406198373, 39 clinicians
All in Home Rehab LLCGroup PAC ID 2961747928, 5 clinicians

Practice addresses (Care Compare)

Bridgewater, NJ 08807
Phone (908) 722-7022

6 Stevens Dr
Holmdel, NJ 07733-2209
Phone (908) 377-9448

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR00408600NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgeway Care at Home, LLC Occupational Therapist CurrentSince Jun 1, 2022 Accepting new patients
All in Home Rehab LLC CurrentSince Mar 1, 2021 Accepting new patients

Locations

270 State Route 28
Bridgewater, NJ 08807
Phone (908) 722-7022

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": "1614038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1457945123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CHARLES ST APT 7B",
            "city": "ROSELLE PARK",
            "state": "NJ",
            "postal_code": "072042242",
            "telephone_number": "908-656-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CHARLES ST APT 7B",
            "city": "ROSELLE PARK",
            "state": "NJ",
            "postal_code": "072042242",
            "telephone_number": "908-656-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALINAWAN",
        "first_name": "BRENDA",
        "middle_name": "HOCAMIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-23",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00408600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roselle Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.