Active NPI
Angela R Sista, OTD, OTR/L
- Occupational Therapist
- Jersey City, NJ
National Provider Identifier
1790532190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 1 Nardone PL
Jersey City, NJ 07306-3514 - Phone
- (201) 792-3840
- NPI assigned
- May 2, 2024
- Last updated
- May 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | NU | Primary |
Addresses
Primary practice location
1 Nardone PL
Jersey City, NJ 07306-3514
Mailing address
20 1St St Apt B
New Providence, NJ 07974-2945
Phone (973) 255-9735
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714608000000",
"number": "1790532190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 1ST ST APT B",
"city": "NEW PROVIDENCE",
"state": "NJ",
"postal_code": "079742945",
"telephone_number": "973-255-9735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 NARDONE PL",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073063514",
"telephone_number": "201-792-3840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SISTA",
"first_name": "ANGELA",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "OTD, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-02",
"last_updated": "2024-05-02",
"certification_date": "2024-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.