Individual provider Active NPI

Elizabeth Catherine Dziuba

  • Occupational Therapist
  • Florham Park, NJ
National Provider Identifier
1669237004
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR01163800 Issued in NJ
Practice address
171 Ridgedale Ave
Florham Park, NJ 07932-1764
Phone
(973) 377-6327
NPI assigned
Feb 15, 2024
Last updated
Feb 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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 46TR01163800 NJ Primary

Addresses

Primary practice location

171 Ridgedale Ave
Florham Park, NJ 07932-1764

Mailing address

4 Sandhurst CT
Toms River, NJ 08757-6564
Phone (908) 670-1007

Other practice location 1

492 Springfield Ave
Berkeley Heights, NJ 07922-1112
Phone (908) 665-0770

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240301001486 NJ Practitioner - Occupational Therapist in Private Practice 5698110591 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced WellnessGroup PAC ID 2163436148, 18 clinicians

Practice addresses (Care Compare)

17 N Main St
Marlboro, NJ 07746-1439
Phone (732) 431-2155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Total Health Physical Medicine and Rehab Center CurrentSince Feb 19, 2024 Accepting new patients
Thrive Spine and Sports Rehab LLC CurrentSince Sep 22, 2024 Accepting new patients
Total Health Physical Medicine & Rehabilitation Center LLC CurrentSince Feb 19, 2024 Accepting new patients

Locations

616 5th Ave
Unit 105
Belmar, NJ 07719
Phone (732) 359-7440

492 Springfield Ave
Berkeley Hts, NJ 07922
Phone (908) 665-0770

171 Ridgedale Ave
Ste A
Florham Park, NJ 07932
Phone (973) 377-6327

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1669237004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SANDHURST CT",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087576564",
            "telephone_number": "908-670-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 RIDGEDALE AVE",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321764",
            "telephone_number": "973-377-6327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "492 Springfield Ave",
            "address_purpose": "LOCATION",
            "city": "Berkeley Heights",
            "state": "NJ",
            "postal_code": "079221112",
            "country_code": "US",
            "telephone_number": "908-665-0770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DZIUBA",
        "first_name": "ELIZABETH",
        "middle_name": "CATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01163800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florham Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.