Individual provider Active NPI

Maryelizabeth A Bischak, OT

  • Occupational Therapist
  • Fair Lawn, NJ
National Provider Identifier
1508356064
Registry record updated May 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00068700 Issued in NJ
Practice address
5-11 Saddle River Rd
Fair Lawn, NJ 07410-5635
Phone
(201) 509-8205
Fax
(201) 857-5766
NPI assigned
May 10, 2018
Last updated
May 10, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2018

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 46TR00068700 NJ Primary

Addresses

Primary practice location

5-11 Saddle River Rd
Fair Lawn, NJ 07410-5635

Mailing address

5-11 Saddle River Rd
Fair Lawn, NJ 07410-5635
Phone (201) 509-8205

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250515000169 NJ Practitioner - Occupational Therapist in Private Practice 1254859184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Speech Therapy Plus LLCGroup PAC ID 6608144324, 4 clinicians

Practice addresses (Care Compare)

5 -11 Saddle River Rd
Suite 5
Fair Lawn, NJ 07410-1464

5 -11 Saddle River Rd
Suite 5
Fair Lawn, NJ 07410-5635

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Therapy Plus LLC CurrentSince May 1, 2025 Accepting new patients

Locations

11-26 Saddle River Rd
Fair Lawn, NJ 07410
Phone (201) 509-8205

11-26 Saddle River Rd
#2
Fair Lawn, NJ 07410

5-11 Saddle River Rd
Fair Lawn, NJ 07410
Phone (201) 509-8205

5-11 Saddle River Rd
Ste 5
Fair Lawn, NJ 07410
Phone (201) 509-8205

48 S Franklin Tpke
Ste 104
Ramsey, NJ 07446
Phone (201) 509-8205

Organizations & group practices 1

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": "1525910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1508356064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5-11 SADDLE RIVER RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105635",
            "telephone_number": "201-509-8205",
            "fax_number": "201-857-5766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5-11 SADDLE RIVER RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105635",
            "telephone_number": "201-509-8205",
            "fax_number": "201-857-5766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISCHAK",
        "first_name": "MARYELIZABETH",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-10",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00068700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; 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.