NPIMap

Organization Active NPI

Essential Therapy Services of NJ

  • Occupational Therapist
  • Rockaway, NJ
National Provider Identifier
1730852070
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
ESSENTIAL THERAPY SERVICES OF NJ
Practice address
100 Enterprise Dr Ste 301
Rockaway, NJ 07866-2129
Phone
(602) 703-2801
Fax
(844) 800-1470
NPI assigned
Jul 30, 2021
Last updated
Jan 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Authorized official

Name
Idomenee Medy
Title
Director of Clinical Services
Phone
(917) 499-8496

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU Primary
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

100 Enterprise Dr Ste 301
Rockaway, NJ 07866-2129

Mailing address

2703 Milburn Ave
Baldwin, NY 11510-4115
Phone (917) 499-8496

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 62

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 62

NPI Registry JSON

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1730852070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 MILBURN AVE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115104115",
            "telephone_number": "917-499-8496",
            "fax_number": "844-800-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ENTERPRISE DR STE 301",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078662129",
            "telephone_number": "602-703-2801",
            "fax_number": "844-800-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL THERAPY SERVICES OF NJ",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-30",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "MEDY",
        "authorized_official_first_name": "IDOMENEE",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "917-499-8496"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.