Individual provider Active NPI

Gina Palumbo

  • Occupational Therapist
  • Monroe Township, NJ
National Provider Identifier
1609254457
Registry record updated May 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00352200 Issued in NJ
Practice address
6 Dartmouth Ave
Monroe Township, NJ 08831-8523
Phone
(732) 904-8887
NPI assigned
May 13, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2015

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 46TR00352200 NJ Primary

Addresses

Primary practice location

6 Dartmouth Ave
Monroe Township, NJ 08831-8523

Mailing address

6 Dartmouth Ave
Monroe Township, NJ 08831-8523
Phone (732) 904-8887

Other names 1

  • Gina Sirianni Former name

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
46TR00352200NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spot on Therapy Services Occupational Therapist 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": "1431475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431475200000",
    "number": "1609254457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 DARTMOUTH AVE",
            "city": "MONROE TOWNSHIP",
            "state": "NJ",
            "postal_code": "088318523",
            "telephone_number": "732-904-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 DARTMOUTH AVE",
            "city": "MONROE TOWNSHIP",
            "state": "NJ",
            "postal_code": "088318523",
            "telephone_number": "732-904-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALUMBO",
        "first_name": "GINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-13",
        "last_updated": "2015-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00352200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "SIRIANNI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monroe Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.