Organization Active NPI

Possibilot Pediatrics, LLC

  • Pediatric Occupational Therapist
  • Edison, NJ
National Provider Identifier
1750990800
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
POSSIBILOT PEDIATRICS, LLC
Practice address
88 Jackson Ave Apt 411
Edison, NJ 08837-3158
Phone
(201) 407-7923
NPI assigned
Jul 24, 2020
Last updated
Oct 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Authorized official

Name
Maureen D Pastor PoeNPI 1891325916
Title
Ms, Otr/L
Phone
(862) 305-0299

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X Primary

Addresses

Primary practice location

88 Jackson Ave Apt 411
Edison, NJ 08837-3158

Mailing address

88 Jackson Ave Apt 411
Edison, NJ 08837-3158

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635292800000",
    "number": "1750990800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 JACKSON AVE APT 411",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 JACKSON AVE APT 411",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373158",
            "telephone_number": "201-407-7923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSSIBILOT PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-24",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "PASTOR POE",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MS, OTR/L",
        "authorized_official_telephone_number": "862-305-0299"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.