Jennifer Neysa Abdelilah, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

010302-1 Issued in NY

Practice address

2 Wynwood Dr
Monmouth Junction, NJ 08852-2022

Phone

(914) 522-5763

NPI assigned

Dec 3, 2011

Last updated

Dec 3, 2011By the provider in NPPES

Sex

Female

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, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fox Rehabilitation Services IncGroup PAC ID 0143133009, 1,169 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fox Rehabilitation Services Inc

  • Physical Therapist
  • Wilmington, DE
  • NPI 1326092503

  NJ, Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Mobile Therapy Services, Inc.

  • Physical Therapist
  • Ocean, NJ
  • NPI 1326495615

  Occupational Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1322870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322870400000",
    "number": "1760750897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WYNWOOD DR",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "088522022",
            "telephone_number": "914-522-5763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WYNWOOD DR",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "088522022",
            "telephone_number": "914-522-5763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDELILAH",
        "first_name": "JENNIFER",
        "middle_name": "NEYSA",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-03",
        "last_updated": "2011-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "010302-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 2 Deer Park Drive Operations LLC (Park Place Center)
• 4Healthfocus
• A Little Something Extra, LLC
• Ade Health & Wellness LLC (Haven Mind Wellness)
• Hillel Adiv
• Advocare , LLC (Advocare Brunswick Princeton Family Practice)
• Roopali Aggrwal, M.D.
• Anoosha Saiyadah Ahmed, PA-C

• Occupational Therapist in Monmouth Junction, NJ
• Providers in Monmouth Junction, 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 Dec 3, 2011; 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.