Active NPI
Corrine Pineda, OTR/L
- Occupational Therapist
- Fort Lee, NJ
National Provider Identifier
1710733704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR01122100
- Practice address
- 1622 Parker Ave Ste 2B
Fort Lee, NJ 07024-6927 - Phone
- (201) 592-0800
- NPI assigned
- Apr 29, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 46TR01122100 | NJ | Primary |
Addresses
Primary practice location
1622 Parker Ave Ste 2B
Fort Lee, NJ 07024-6927
Mailing address
172 Washington Ave Apt 11
Little Ferry, NJ 07643-2065
Phone (201) 470-9191
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR01122100 | NJ | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1710733704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "172 WASHINGTON AVE APT 11",
"city": "LITTLE FERRY",
"state": "NJ",
"postal_code": "076432065",
"telephone_number": "201-470-9191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1622 PARKER AVE STE 2B",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070246927",
"telephone_number": "201-592-0800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINEDA",
"first_name": "CORRINE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-29",
"last_updated": "2024-04-30",
"certification_date": "2024-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR01122100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lee, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.