Individual provider Active NPI

Sidra Elsayed, OTR/L

  • Occupational Therapist
  • Fairfield, NJ
National Provider Identifier
1558055624
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR01124000 Issued in NJ
Practice address
333 US Highway 46 Ste 135
Fairfield, NJ 07004-2427
Phone
(973) 943-4300
NPI assigned
Jun 2, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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 46TR01124000 NJ
Occupational Therapist 225X00000X 46TR01124000 NJ Primary
Physical Rehabilitation Occupational Therapist 225XP0019X 46TR01124000 NJ

Addresses

Primary practice location

333 US Highway 46 Ste 135
Fairfield, NJ 07004-2427

Mailing address

48 Celia Ter
Belleville, NJ 07109-1438
Phone (551) 268-9931

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240129001953 NJ Practitioner - Occupational Therapist in Private Practice 0547613358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mecca Integrated Medical Center, LLCGroup PAC ID 5496890691, 10 clinicians

Practice addresses (Care Compare)

333 A RT 46
St 135
Fairfield, NJ 07004-2415

333A Route 46 W
Suite 135
Fairfield, NJ 07004-2415
Phone (973) 943-4300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR01124000NJMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mecca Integrated Medical Center, LLC CurrentSince Dec 23, 2023 Accepting new patients

Locations

333A Route 46 W
Ste 135
Fairfield, NJ 07004
Phone (973) 775-9380

333 Route 46 W
#A
Fairfield, NJ 07004
Phone (973) 493-4300

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": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1558055624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 CELIA TER",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071091438",
            "telephone_number": "551-268-9931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 US HIGHWAY 46 STE 135",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042427",
            "telephone_number": "973-943-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSAYED",
        "first_name": "SIDRA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-02",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NJ",
            "license": "46TR01124000",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01124000",
            "primary": true
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NJ",
            "license": "46TR01124000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; 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.