Active NPI
Emily Wishnick
- Pediatric Occupational Therapist
- Lakewood, NJ
National Provider Identifier
1639840127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OC014022
- Practice address
- 15 America Ave Unit 108
Lakewood, NJ 08701-4581 - Phone
- (914) 629-8199
- NPI assigned
- Sep 23, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | OC014022 | PA | |
| Pediatric Occupational Therapist | 225XP0200X | OC014022 | PA | Primary |
Addresses
Primary practice location
15 America Ave Unit 108
Lakewood, NJ 08701-4581
Mailing address
15 America Ave Unit 108
Lakewood, NJ 08701-4581
Phone (914) 629-8199
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 |
|---|---|---|---|
| OC014022 | PA | MD | Early Intervention Provider Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633564800000",
"number": "1639840127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 AMERICA AVE UNIT 108",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087014581",
"telephone_number": "914-629-8199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 AMERICA AVE UNIT 108",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087014581",
"telephone_number": "914-629-8199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISHNICK",
"first_name": "EMILY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-23",
"last_updated": "2021-10-07",
"certification_date": "2021-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "PA",
"license": "OC014022",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "PA",
"license": "OC014022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.