Olivea Potenzone

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00671900 Issued in NJ

Practice address

160 Terrace St
Suite 4
Haworth, NJ 07641-1845

Phone

(201) 388-5344

NPI assigned

Mar 7, 2016

Last updated

Mar 7, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457308800000",
    "number": "1790145589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 TERRACE ST",
            "address_2": "SUITE 4",
            "city": "HAWORTH",
            "state": "NJ",
            "postal_code": "076411845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 TERRACE ST",
            "address_2": "SUITE 4",
            "city": "HAWORTH",
            "state": "NJ",
            "postal_code": "076411845",
            "telephone_number": "201-388-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTENZONE",
        "first_name": "OLIVEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-07",
        "last_updated": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00671900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi Lynn Levenson, MSCCC
• Alice Marcus, L.C.S.W.
• Frank J. McElroy, PH.D.
• Anthony M Miceli, D.C.
• New Concepts for Living
• Richard F. Formica, PH.D., P.a.
• Riddle Medical LLC
• Albert Riddle, MD
• Amira Cheska Umlas Roxas, RPH
• Erick Dan Rubel, MSW, LCSW

• Occupational Therapist in Haworth, NJ
• Providers in Haworth, 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 Mar 7, 2016; 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.