NPIMap

Individual provider Active NPI

Abby Wong Cheung, OTR/L

  • Pediatric Occupational Therapist
  • Lafayette, NJ
National Provider Identifier
1497007140
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
46TR00884000 Issued in NJ
Practice address
156 Route 15
Lafayette, NJ 07848
Phone
(973) 862-6377
NPI assigned
Oct 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT006464 GA
Pediatric Occupational Therapist 225XP0200X 017200-1 NY
Pediatric Occupational Therapist 225XP0200X 46TR00884000 NJ Primary

Addresses

Primary practice location

156 Route 15
Lafayette, NJ 07848

Mailing address

73 Burnett Ter
West Orange, NJ 07052-3726
Phone (646) 705-2297

Other practice location 1

135 Columbia Tpke Ste 302
Florham Park, NJ 07932-2189
Phone (917) 922-4910

Other practice location 2

5050 Research Ct Ste 800
Suwanee, GA 30024
Phone (770) 205-5551 ext. 2

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

LicenseStateTypeSpecialty
OT006464GAMDPediatric Occupational Therapist
46TR00884000NJMDPediatric Occupational Therapist
017200-1NYMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Damon Physical Therapy CurrentSince May 10, 2020 Accepting new patients
Kornerstone Kids, LLC Pediatrics Past Accepting new patients
Performance Pediatrics Pediatrics PastSince Jan 5, 2020 Accepting new patients

Locations

156 State Route 15
Lafayette, NJ 07848
Phone (973) 237-1975

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1497007140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 BURNETT TER",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070523726",
            "telephone_number": "646-705-2297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 ROUTE 15",
            "city": "LAFAYETTE",
            "state": "NJ",
            "postal_code": "07848",
            "telephone_number": "973-862-6377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 Columbia Tpke Ste 302",
            "address_purpose": "LOCATION",
            "city": "Florham Park",
            "state": "NJ",
            "postal_code": "079322189",
            "country_code": "US",
            "telephone_number": "917-922-4910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5050 Research Ct Ste 800",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "30024",
            "country_code": "US",
            "telephone_number": "770-205-5551 x2",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEUNG",
        "first_name": "ABBY",
        "middle_name": "WONG",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-04",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "GA",
            "license": "OT006464",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "017200-1",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NJ",
            "license": "46TR00884000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; 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.