Individual provider Active NPI

Jessica Lipchak

  • Occupational Therapist
  • Bayonne, NJ
National Provider Identifier
1689315608
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR01050200 Issued in NJ
Practice address
305 Bayonne Crossing Way
Bayonne, NJ 07002-5304
Phone
(201) 778-2020
NPI assigned
Apr 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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 46TR01050200 NJ Primary

Addresses

Primary practice location

305 Bayonne Crossing Way
Bayonne, NJ 07002-5304

Mailing address

1575 Harbor Blvd Apt 3303
Weehawken, NJ 07086-6663
Phone (732) 996-9176

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230922001172 FL Practitioner - Occupational Therapist in Private Practice 6406234491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Strong Physical Therapy LLCGroup PAC ID 1557757267, 4 clinicians

Practice addresses (Care Compare)

Sunrise, FL 33351
Phone (330) 397-6265

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR01050200NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Strong Physical Therapy LLC CurrentSince Sep 11, 2023 Accepting new patients
Rapha Wellness Center, PC CurrentSince Apr 10, 2022 Accepting new patients
Enjoy Jersey Services LLC Occupational Therapist CurrentSince Nov 17, 2024 Accepting new patients

Locations

8256 Wiles Rd
Coral Springs, FL 33067
Phone 30539794401900

305 Bayonne Crossing Way
Ste 201
Bayonne, NJ 07002

305 Bayonne Crossing Way
Ste 101
Bayonne, NJ 07002
Phone (201) 778-2020

305 Bayonne Crossing Way
Bayonne, NJ 07002
Phone (201) 778-2020

Organizations & group practices 3

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": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1689315608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 HARBOR BLVD APT 3303",
            "city": "WEEHAWKEN",
            "state": "NJ",
            "postal_code": "070866663",
            "telephone_number": "732-996-9176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 BAYONNE CROSSING WAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070025304",
            "telephone_number": "201-778-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPCHAK",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01050200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.