Active NPI
Michael Gabrian
- Occupational Therapy Assistant
- Morristown, NJ
National Provider Identifier
1508472895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 46TA09200900
- Practice address
- 540 W Hanover Ave
Morristown, NJ 07960-2500 - Phone
- (973) 607-2319
- NPI assigned
- Sep 22, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 46TA09200900 | NJ | Primary |
Addresses
Primary practice location
540 W Hanover Ave
Morristown, NJ 07960-2500
Mailing address
24 Birchwood Dr
Elmwood Park, NJ 07407-1302
Phone (201) 638-2075
Other practice location 1
77 Madison Ave
Morristown, NJ 07960-7330
Phone (973) 540-9800
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
| License | State | Type | Specialty |
|---|---|---|---|
| 46TA09200900 | NJ | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600732800000",
"number": "1508472895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 BIRCHWOOD DR",
"city": "ELMWOOD PARK",
"state": "NJ",
"postal_code": "074071302",
"telephone_number": "201-638-2075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 W HANOVER AVE",
"city": "MORRISTOWN",
"state": "NJ",
"postal_code": "079602500",
"telephone_number": "973-607-2319"
}
],
"practiceLocations": [
{
"address_1": "77 Madison Ave",
"address_purpose": "LOCATION",
"city": "Morristown",
"state": "NJ",
"postal_code": "079607330",
"country_code": "US",
"telephone_number": "973-540-9800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GABRIAN",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-22",
"last_updated": "2020-09-22",
"certification_date": "2020-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NJ",
"license": "46TA09200900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morristown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.