Individual provider Active NPI

Rochelle A Penalosa, COTA

  • Occupational Therapy Assistant
  • Clifton, NJ
National Provider Identifier
1548029184
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
46TA09220700 Issued in NJ
Practice address
63 Hooyman Dr
Clifton, NJ 07013-3640
Phone
(973) 495-0332
NPI assigned
Mar 18, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 46TA09220700 NJ Primary

Addresses

Primary practice location

63 Hooyman Dr
Clifton, NJ 07013-3640

Mailing address

868 Spring Valley Rd
Maywood, NJ 07607-1427
Phone (201) 546-0449

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
46TA09220700NJMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Topnotch Therapy Services LLC CurrentSince Mar 24, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1548029184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "868 SPRING VALLEY RD",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071427",
            "telephone_number": "201-546-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 HOOYMAN DR",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133640",
            "telephone_number": "973-495-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENALOSA",
        "first_name": "ROCHELLE",
        "middle_name": "A",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NJ",
            "license": "46TA09220700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.