Individual provider Active NPI

Lisa J Pignataro, OTR/L

  • Occupational Therapist
  • North Bergen, NJ
National Provider Identifier
1669964037
Registry record updated Jun 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00824000 Issued in NJ
Practice address
3505 Bergen Tpke
North Bergen, NJ 07047-2435
Phone
(201) 875-3140
NPI assigned
Jun 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2018

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 46TR00824000 NJ Primary

Addresses

Primary practice location

3505 Bergen Tpke
North Bergen, NJ 07047-2435

Mailing address

114 Tindall Rd
Middletown, NJ 07748-2337
Phone (732) 673-0656

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR00824000NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Health & Fitness Professionals LLC CurrentSince Sep 9, 2021 Accepting new patients
Breast Rehabilitation & Healing Center Occupational Therapist CurrentSince Jul 10, 2023 Accepting new patients
Pearl Rehabilitation LLC CurrentSince Nov 1, 2021 Accepting new patients
Breast Fit PastSince Mar 4, 2021 Accepting new patients
Parker Creek Neurorehabilitation PastSince Nov 1, 2021 Accepting new patients

Locations

99 Kinderkamack Rd
Ste 211
Westwood, NJ 07675
Phone (201) 497-6175

99 Kinderkamack Rd
Ste 204
Westwood, NJ 07675
Phone (201) 497-6175

573 Amboy Ave
Woodbridge, NJ 07095
Phone (908) 282-3737

Organizations & group practices 5

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": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527811200000",
    "number": "1669964037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 TINDALL RD",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077482337",
            "telephone_number": "732-673-0656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 BERGEN TPKE",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070472435",
            "telephone_number": "201-875-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIGNATARO",
        "first_name": "LISA",
        "middle_name": "J",
        "name_prefix": "Miss",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-01",
        "last_updated": "2018-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00824000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bergen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2018; 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.