Nicole Lynn Vontell, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

TA090553 Issued in NJ

Practice address

200 Reynolds Ave
Parsippany, NJ 07054-3326

Phone

(973) 887-8080

Fax

(973) 386-5974

NPI assigned

Mar 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669592200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 RADCLIFFE ST",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074813028",
            "telephone_number": "201-880-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 REYNOLDS AVE",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070543326",
            "telephone_number": "973-887-8080",
            "fax_number": "973-386-5974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONTELL",
        "first_name": "NICOLE",
        "middle_name": "LYNN",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NJ",
            "license": "TA090553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica L Vieira, PSY D
• Lisa Kristen Villano, MA, LPC, LCADC
• Iulia Vinceller-Orel, LPC
• Zhanye Vines
• Mark Vitale, LAC
• Zachary Walden, PSYD
• Walgreen Co (Walgreens #13466)
• Walk in Medical Care LLC
• Robert M Wall, MD
• Leona P. Butler Wallace

• Occupational Therapy Assistant in Parsippany, NJ
• Providers in Parsippany, NJ by specialty
• Occupational Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.