Individual provider Active NPI

Angela Nicole Bussi, COTA

  • Occupational Therapy Assistant
  • Butler, NJ
National Provider Identifier
1659720076
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
46TA09115400 Issued in NJ
Practice address
14 Summit Ave
Butler, NJ 07405-1610
Phone
(973) 997-2137
NPI assigned
Jun 7, 2016
Last updated
Jun 7, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 46TA09115400 NJ Primary

Addresses

Primary practice location

14 Summit Ave
Butler, NJ 07405-1610

Mailing address

14 Summit Ave
Butler, NJ 07405-1610
Phone (973) 997-2137

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
46TA09115400NJMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1659720076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 SUMMIT AVE",
            "city": "BUTLER",
            "state": "NJ",
            "postal_code": "074051610",
            "telephone_number": "973-997-2137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 SUMMIT AVE",
            "city": "BUTLER",
            "state": "NJ",
            "postal_code": "074051610",
            "telephone_number": "973-997-2137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSSI",
        "first_name": "ANGELA",
        "middle_name": "NICOLE",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NJ",
            "license": "46TA09115400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.