Organization Active NPI

Drew Rehab and Home Therapy

  • Occupational Therapist
  • Millburn, NJ
National Provider Identifier
1699381061
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
DREW REHAB AND HOME THERAPY
Practice address
670 Ridgewood Rd
Millburn, NJ 07041-1929
Phone
(917) 945-6048
NPI assigned
Sep 21, 2020
Last updated
Sep 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Authorized official

Name
Mai Comeros, OTRLNPI 1477978062
Title
Owner
Phone
(917) 945-6048

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

670 Ridgewood Rd
Millburn, NJ 07041-1929

Mailing address

670 Ridgewood Rd
Millburn, NJ 07041-1929
Phone (917) 945-6048

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201112000016 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2062822513 Receives reassigned benefits from 1 practitioner
Practice locations: Millburn, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600819200000",
    "number": "1699381061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 RIDGEWOOD RD",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411929",
            "telephone_number": "917-945-6048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 RIDGEWOOD RD",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411929",
            "telephone_number": "917-945-6048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREW REHAB AND HOME THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A",
        "authorized_official_last_name": "COMEROS",
        "authorized_official_first_name": "MAI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-945-6048",
        "authorized_official_credential": "OTRL"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millburn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.