Individual provider Active NPI

Supriya Mane, OTR

  • Occupational Therapist
  • Somerset, NJ
National Provider Identifier
1659568509
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00208600 Issued in NJ
Practice address
380 Demott LN
Regency Heritage Nursing Center
Somerset, NJ 08873-2762
Phone
(732) 873-2000
NPI assigned
Sep 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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 46TR00208600 NJ Primary

Addresses

Primary practice location

380 Demott LN
Regency Heritage Nursing Center
Somerset, NJ 08873-2762

Mailing address

14 Crestwood Dr
Piscataway, NJ 08854-7502
Phone (732) 754-7166

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
46TR00208600NJMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190678400000",
    "number": "1659568509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CRESTWOOD DR",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088547502",
            "telephone_number": "732-754-7166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 DEMOTT LN",
            "address_2": "REGENCY HERITAGE NURSING CENTER",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088732762",
            "telephone_number": "732-873-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANE",
        "first_name": "SUPRIYA",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00208600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.