Individual provider Active NPI

Galo E Aguayo, OTD, OTR/L

  • Occupational Therapist
  • West Caldwell, NJ
National Provider Identifier
1780014332
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00621300 Issued in NJ
Practice address
1129 Bloomfield Ave Ste 210
West Caldwell, NJ 07006-7123
Phone
(973) 637-0101
NPI assigned
Nov 18, 2013
Last updated
Apr 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00621300 NJ Primary

Addresses

Primary practice location

1129 Bloomfield Ave Ste 210
West Caldwell, NJ 07006-7123

Mailing address

1129 Bloomfield Ave Ste 210
West Caldwell, NJ 07006-7123
Phone (973) 637-0101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230816000351 NJ Practitioner - Occupational Therapist in Private Practice 0648632141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute Health Chiropractic LLC CurrentSince Apr 30, 2023 Accepting new patients
Sensory Therapeutics of NJ CurrentSince Jun 1, 2023 Accepting new patients

Locations

1129 Bloomfield Ave
Ste 210
West Caldwell, NJ 07006
Phone (973) 439-6969

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1780014332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 BLOOMFIELD AVE STE 210",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067123",
            "telephone_number": "973-637-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 BLOOMFIELD AVE STE 210",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067123",
            "telephone_number": "973-637-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUAYO",
        "first_name": "GALO",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-18",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00621300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Caldwell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.