Active NPI
Julia Paige Bercaw
- Occupational Therapist
- Pittstown, NJ
National Provider Identifier
1700409091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC017251
- Practice address
- 17 Woodland Rd
Pittstown, NJ 08867-4028 - Phone
- (908) 752-7299
- NPI assigned
- May 21, 2020
- Last updated
- Sep 14, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 161450 | AK | |
| Occupational Therapist | 225X00000X | OC017251 | PA | Primary |
Addresses
Primary practice location
17 Woodland Rd
Pittstown, NJ 08867-4028
Mailing address
801 S 47TH St Apt 301
Philadelphia, PA 19143-3652
Phone (908) 752-7299
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
| License | State | Type | Specialty |
|---|---|---|---|
| 161450 | AK | MD | Occupational Therapist |
| OC017251 | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631577600000",
"number": "1700409091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 S 47TH ST APT 301",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191433652",
"telephone_number": "908-752-7299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 WOODLAND RD",
"city": "PITTSTOWN",
"state": "NJ",
"postal_code": "088674028",
"telephone_number": "908-752-7299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERCAW",
"first_name": "JULIA",
"middle_name": "PAIGE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-21",
"last_updated": "2021-09-14",
"certification_date": "2021-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AK",
"license": "161450",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC017251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittstown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.