Individual provider Active NPI

Khimraj Kanji Chawda, OCCUPATIONAL THERAPI

  • Occupational Therapist
  • Toms River, NJ
National Provider Identifier
1679661060
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR000555 Issued in NJ
Practice address
1475 Iroquois CT S
Toms River, NJ 08755-4080
Phone
(732) 818-9463
Fax
(732) 818-1374
NPI assigned
Oct 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 46TR000555 NJ Primary

Addresses

Primary practice location

1475 Iroquois CT S
Toms River, NJ 08755-4080

Mailing address

1475 Iroquois CT S
Toms River, NJ 08755-4080
Phone (732) 818-9463

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
46TR000555NJMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679661060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 IROQUOIS CT S",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087554080",
            "telephone_number": "732-818-9463",
            "fax_number": "732-818-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 IROQUOIS CT S",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087554080",
            "telephone_number": "732-818-9463",
            "fax_number": "732-818-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAWDA",
        "first_name": "KHIMRAJ",
        "middle_name": "KANJI",
        "name_prefix": "Mr.",
        "credential": "OCCUPATIONAL THERAPI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR000555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • 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.