Jordan Brett Elting, MOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

018635 Issued in NY

Practice address

52 Westbrook Way
Manalapan, NJ 07726-3332

Phone

(732) 446-5916

NPI assigned

Mar 13, 2014

Last updated

Mar 13, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Superior Clinical Care PLLC

  • Contractor
  • Staten Island, NY
  • NPI 1154487122
  Medicare reassignment NPD

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394668800000",
    "number": "1629494752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "962 MANOR RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103147011",
            "telephone_number": "718-982-5944",
            "fax_number": "718-494-2724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 WESTBROOK WAY",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263332",
            "telephone_number": "732-446-5916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELTING",
        "first_name": "JORDAN",
        "middle_name": "BRETT",
        "name_prefix": "Mr.",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-13",
        "last_updated": "2014-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "018635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elina Malamud LCSW LLC
• Elite Lifecare Services LLC
• Elizabeth O. Salcedo, MDPC
• Steve Ellis, LCSW
• Rana E Elsayed, LCSW, LCADC
• Enable, Inc.
• Enable, Inc.
• Enable, Inc.
• Enable, Inc.
• Enable, Inc.

• Occupational Therapist in Manalapan, NJ
• Providers in Manalapan, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; 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.