Kristin Marietta Camacho, MA OTR/L, M.ED.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00280200 Issued in NJ

Practice address

600 S Livingston Ave
Suite 210
Livingston, NJ 07039-5419

Phone

(800) 530-3247

Fax

(973) 740-9007

NPI assigned

Aug 1, 2007

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

Other names 1

• Kristin Marietta Van Giezen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Master of Education

State licenses

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185926400000",
    "number": "1720279078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 KENDALL CT",
            "city": "MENDHAM",
            "state": "NJ",
            "postal_code": "079452502",
            "telephone_number": "973-813-7265",
            "fax_number": "973-813-7295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S LIVINGSTON AVE",
            "address_2": "SUITE 210",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395419",
            "telephone_number": "800-530-3247",
            "fax_number": "973-740-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMACHO",
        "first_name": "KRISTIN",
        "middle_name": "MARIETTA",
        "credential": "MA OTR/L, M.ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-01",
        "last_updated": "2007-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00280200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "VAN GIEZEN",
            "middle_name": "MARIETTA",
            "credential": "MA OTR/L, M.ED",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Silvia Calderon, ADULT GERONTOLOGY NP
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• Michael Calo
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• Cassio Campello de Menezes, LPC
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• Occupational Therapist in Livingston, NJ
• Providers in Livingston, 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 Aug 1, 2007; 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.