Nicolette Keale

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

2440 Route 34
Manasquan, NJ 08736-1808

Phone

(732) 612-9948

NPI assigned

Mar 25, 2022

Sex

Female

Sole proprietor

No

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.

• Northeast Sports Medicine Group, PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Point Pleasant Boro, NJ
  • NPI 1811010549

  NJ

  Medicare reassignment Care Compare group
• Northeast Surgery Associates LLC

  • Orthopaedic Surgery Physician
  • Manasquan, NJ
  • NPI 1356929632
  NPD

Specialty

Occupational Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northeast Sports Medicine Group, PC 15 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 25, 2022.

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1740930403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 ROUTE 34",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361808",
            "telephone_number": "173-261-2994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 ROUTE 34",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361808",
            "telephone_number": "732-612-9948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEALE",
        "first_name": "NICOLETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph M. Springer, PH.D., LLC
• Joshua D Wolpert MD LLC
• Just Be Counseling, LLC
• Atul F Kamath, MD
• Ravi Kapoor, PHARM D
• Ruth S Kearney, M.ED.,CCC/SLP
• Michael Keelan, MD
• Michael P Keenan, OWNER, KMFITNESS
• Jill Patricia Keer, MS, RDN
• John R Keller, RPH

• All providers in Manasquan, NJ
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; 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.