Active NPI
Donna Doherty
- Pediatric Occupational Therapist
- Jersey City, NJ
National Provider Identifier
1619245255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 46TR00080800
- Practice address
- 108 Paterson St
2ND FL
Jersey City, NJ 07307-3426 - Phone
- (201) 401-4557
- NPI assigned
- Dec 10, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 46TR00080800 | NJ | Primary |
Addresses
Primary practice location
108 Paterson St
2ND FL
Jersey City, NJ 07307-3426
Mailing address
108 Paterson St
2ND FL
Jersey City, NJ 07307-3426
Phone (201) 401-4557
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 |
|---|---|---|---|
| 46TR00080800 | NJ | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419897600000",
"number": "1619245255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 PATERSON ST",
"address_2": "2ND FL",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073073426",
"telephone_number": "201-401-4557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 PATERSON ST",
"address_2": "2ND FL",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073073426",
"telephone_number": "201-401-4557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOHERTY",
"first_name": "DONNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-10",
"last_updated": "2014-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NJ",
"license": "46TR00080800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.