Individual provider Active NPI

Seth R Duncan

  • Occupational Therapist
  • Northfield, NJ
National Provider Identifier
1669123063
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR01105000 Issued in NJ
Practice address
2300 New Rd Ste 101
Northfield, NJ 08225-1457
Phone
(609) 204-4849
NPI assigned
Jan 17, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC004911L PA
Occupational Therapist 225X00000X 46TR01105000 NJ Primary

Addresses

Primary practice location

2300 New Rd Ste 101
Northfield, NJ 08225-1457

Mailing address

2300 New Rd Ste 101
Northfield, NJ 08225-1457
Phone (609) 204-4849

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240708002358 NJ Practitioner - Occupational Therapist in Private Practice 4880139484 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spectrum Fitness, LLCGroup PAC ID 4385878362, 57 clinicians

Practice addresses (Care Compare)

2300 New Rd
Suite 103
Northfield, NJ 08225-1457
Phone (609) 204-4849

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR01105000NJMDOccupational Therapist
OC004911LPAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Fitness, LLC CurrentSince Apr 14, 2024 Accepting new patients

Locations

2300 New Rd
Ste 101
Northfield, NJ 08225
Phone (609) 204-4849

2300 New Rd
Ste 103
Northfield, NJ 08225
Phone (609) 204-4849

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1669123063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 NEW RD STE 101",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251457",
            "telephone_number": "609-204-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 NEW RD STE 101",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251457",
            "telephone_number": "609-204-4849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "SETH",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-17",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC004911L",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01105000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.