Active NPI
Daniel Obrycki, OT
- Occupational Therapist
- Cliffside Park, NJ
National Provider Identifier
1710137682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR00343900
- Practice address
- 590 Anderson Ave
Cliffside Park, NJ 07010-1721 - Phone
- (201) 941-2667
- Fax
- (201) 941-2578
- NPI assigned
- Sep 26, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 46TR00343900 | NJ | Primary |
Addresses
Primary practice location
590 Anderson Ave
Cliffside Park, NJ 07010-1721
Mailing address
590 Anderson Ave
Cliffside Park, NJ 07010-1721
Phone (201) 941-2667
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR00343900 | NJ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spiricare of New Jersey Inc. | Current | Accepting new patients | |
| Hospice at Lsmnj, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Home Health Agency
- West Caldwell, NJ
- NPI 1770131997
-
- Community Based Hospice Care Agency
- Egg Harbor Township, NJ
- NPI 1275047706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222387200000",
"number": "1710137682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "590 ANDERSON AVE",
"city": "CLIFFSIDE PARK",
"state": "NJ",
"postal_code": "070101721",
"telephone_number": "201-941-2667",
"fax_number": "201-941-2578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 ANDERSON AVE",
"city": "CLIFFSIDE PARK",
"state": "NJ",
"postal_code": "070101721",
"telephone_number": "201-941-2667",
"fax_number": "201-941-2578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBRYCKI",
"first_name": "DANIEL",
"name_prefix": "Mr.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-26",
"last_updated": "2008-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR00343900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cliffside Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; 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.