Individual provider Active NPI

Paula Dianne Emma, OT

  • Occupational Therapist
  • Wayne, NJ
National Provider Identifier
1598043200
Registry record updated Jul 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00534100 Issued in NJ
Practice address
309 Black Oak Ridge Rd
Wayne, NJ 07470-6504
Phone
(973) 956-2900
NPI assigned
Jul 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2011

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 46TR00534100 NJ Primary

Addresses

Primary practice location

309 Black Oak Ridge Rd
Wayne, NJ 07470-6504

Mailing address

309 Black Oak Ridge Rd
Wayne, NJ 07470-6504
Phone (973) 956-2900

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
46TR00534100NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Rehabilitation of North Jersey PC Past 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": "1311811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311811200000",
    "number": "1598043200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 BLACK OAK RIDGE RD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074706504",
            "telephone_number": "973-956-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 BLACK OAK RIDGE RD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074706504",
            "telephone_number": "973-956-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMMA",
        "first_name": "PAULA",
        "middle_name": "DIANNE",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-28",
        "last_updated": "2011-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00534100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2011; 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.