Organization Active NPI

Franklin Lakes Occupational Therapy Center

  • Occupational Therapist
  • Franklin Lakes, NJ
National Provider Identifier
1649889379
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
FRANKLIN LAKES OCCUPATIONAL THERAPY CENTER
Practice address
794 Franklin Ave Ste 204
Franklin Lakes, NJ 07417-1379
Phone
(201) 891-6100
Fax
(201) 891-7700
NPI assigned
Jul 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Authorized official

Name
Dr. Michael Golz, DCNPI 1225039282
Title
Owner
Phone
(201) 891-6100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

794 Franklin Ave Ste 204
Franklin Lakes, NJ 07417-1379

Mailing address

794 Franklin Ave Ste 204
Franklin Lakes, NJ 07417-1379
Phone (201) 891-6100

Other practice location 1

7 E Main St
Ramsey, NJ 07446-1922
Phone (201) 327-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200806001417 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4688090178 Receives reassigned benefits from 2 practitioners
Practice locations: Franklin Lakes, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1649889379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "794 FRANKLIN AVE STE 204",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074171379",
            "telephone_number": "201-891-6100",
            "fax_number": "201-891-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "794 FRANKLIN AVE STE 204",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074171379",
            "telephone_number": "201-891-6100",
            "fax_number": "201-891-7700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 E Main St",
            "address_purpose": "LOCATION",
            "city": "Ramsey",
            "state": "NJ",
            "postal_code": "074461922",
            "country_code": "US",
            "telephone_number": "201-327-1400",
            "fax_number": "201-327-1405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FRANKLIN LAKES OCCUPATIONAL THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-29",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "GOLZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-891-6100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Lakes, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.