Debjit Mitra, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00261100 Issued in NJ

Practice address

334 Ryders LN
East Brunswick, NJ 08816-2201

Phone

(732) 390-0607

NPI assigned

Jul 31, 2007

Last updated

Nov 3, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in NJ

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Synergy Therapy ServicesGroup PAC ID 3779971387, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Synergy Therapy Services

  • Physical Therapist
  • East Brunswick, NJ
  • NPI 1720750029

  Occupational Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1730379108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 RYDERS LN",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088162201",
            "telephone_number": "732-390-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 RYDERS LN",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088162201",
            "telephone_number": "732-390-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITRA",
        "first_name": "DEBJIT",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-31",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00261100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Mintz, MD
• Nima Mir Madjlessi, DDS,MSD,PA
• Mira Vie at East Brunswick Opco LLC (Mira Vie at East Brunswick)
• Noushin Mirmadjlessi, MD
• Lauren Mitchell
• Narmin Farah Hussain Mizan, MD
• Sabry Moawad, D.D.S.
• Anne L Moch, MD
• Modern Dental Studio, P.C.
• Chirag Hasmukhlal Modi, MD

• Occupational Therapist in East Brunswick, NJ
• Providers in East Brunswick, 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 Nov 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.