Jacqueline Marta Patino

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00536100 Issued in NJ

Practice address

300 Market St
Saddle Brook, NJ 07663-5309

Phone

(201) 368-6000

NPI assigned

Jan 5, 2021

Last updated

Jan 5, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1700474756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 MIDWOOD RD",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074521523",
            "telephone_number": "201-739-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MARKET ST",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076635309",
            "telephone_number": "201-368-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATINO",
        "first_name": "JACQUELINE",
        "middle_name": "MARTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00536100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadja R Parker, RN
• Chirag P Patel, PHARM.D.
• Devki Patel
• Nidhi N Patel
• Sanjeev N Patel, M.D.
• Patriot Elder Care (Adult Day Care Center)
• Joanne Paventa, P.T.
• Peaceful Practice, LLC
• Peachy Nutrition LLC
• Jaclyn Peene

• Occupational Therapist in Saddle Brook, NJ
• Providers in Saddle Brook, NJ by specialty
• Occupational Therapist in New Jersey

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

Verify at the official NPI Registry.