Individual provider Active NPI

Ramona Nadres

  • Occupational Therapist
  • Passaic, NJ
National Provider Identifier
1780289231
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00867500 Issued in NJ
Practice address
285 Aycrigg Ave Apt 20B
Passaic, NJ 07055-3735
Phone
(862) 703-9078
NPI assigned
Dec 2, 2020
Reactivated
Jul 21, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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 46TR00867500 NJ Primary

Addresses

Primary practice location

285 Aycrigg Ave Apt 20B
Passaic, NJ 07055-3735

Mailing address

285 Aycrigg Ave Apt 20B
Passaic, NJ 07055-3735
Phone (862) 703-9078

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260106002373 NJ Practitioner - Occupational Therapist in Private Practice 2961998364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rock Lodge Ventures, IncGroup PAC ID 2567988637, 2 clinicians

Practice addresses (Care Compare)

470 Schooleys Mountain Rd
Suite 9
Hackettstown, NJ 07840-4238
Phone (908) 520-2346

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR00867500NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rock Lodge Ventures, Inc CurrentSince Nov 4, 2025 Accepting new patients

Locations

470 Schooleys Mountain Rd
Ste 9
Hackettstown, NJ 07840
Phone (908) 520-2346

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1780289231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 AYCRIGG AVE APT 20B",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070553735",
            "telephone_number": "862-703-9078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 AYCRIGG AVE APT 20B",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070553735",
            "telephone_number": "862-703-9078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADRES",
        "first_name": "RAMONA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-02",
        "last_updated": "2025-07-21",
        "certification_date": "2023-06-28",
        "deactivation_date": "2023-06-28",
        "reactivation_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00867500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Passaic, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.