Individual provider Active NPI

Jennifer Sweeney

  • Occupational Therapist
  • Edison, NJ
National Provider Identifier
1811729247
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR01187400 Issued in NJ
Practice address
72 Route 27
Edison, NJ 08820-3986
Phone
(732) 838-5993
NPI assigned
Aug 15, 2024
Last updated
Aug 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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 46TR01187400 NJ Primary

Addresses

Primary practice location

72 Route 27
Edison, NJ 08820-3986

Mailing address

450 South Ave Apt 211
Garwood, NJ 07027-1280
Phone (201) 994-6230

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241011003755 NJ Practitioner - Occupational Therapist in Private Practice 3274065446

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR01187400NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carteret Comprehensive Medical Care, P.C. CurrentSince Aug 21, 2024 Accepting new patients
Carteret Comprehensive Medical Care,PC CurrentSince Aug 21, 2024 Accepting new patients

Locations

72 State Route 27
Edison, NJ 08820
Phone (732) 662-9901

311 Spotswood Englishtown Rd
Monroe Township, NJ 08831
Phone (732) 251-5200

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": "1723680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1811729247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 SOUTH AVE APT 211",
            "city": "GARWOOD",
            "state": "NJ",
            "postal_code": "070271280",
            "telephone_number": "201-994-6230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 ROUTE 27",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203986",
            "telephone_number": "732-838-5993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEENEY",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01187400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.