Individual provider Active NPI

Victoria Rachel Vnencak

  • Occupational Therapy Assistant
  • Piscataway, NJ
National Provider Identifier
1760972194
Registry record updated May 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
46TA09159300 Issued in NJ
Practice address
10 Sterling Dr
Piscataway, NJ 08854-4911
Phone
(732) 917-2905
NPI assigned
May 10, 2018
Last updated
May 10, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 46TA09159300 NJ Primary

Addresses

Primary practice location

10 Sterling Dr
Piscataway, NJ 08854-4911

Mailing address

2 Jersey PL
Newton, NJ 07860-2300
Phone (862) 268-6366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
46TA09159300NJMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1760972194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 JERSEY PL",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078602300",
            "telephone_number": "862-268-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 STERLING DR",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088544911",
            "telephone_number": "732-917-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VNENCAK",
        "first_name": "VICTORIA",
        "middle_name": "RACHEL",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-10",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NJ",
            "license": "46TA09159300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Piscataway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; 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.