Lisa Sara Sugarman

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

46TR00392900 Issued in NJ

Practice address

666 Kinderkamack Rd
River Edge, NJ 07661-2153

Phone

(201) 305-3326

NPI assigned

Mar 20, 2025

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• Wonder Kids Therapy Center

  • Pediatric Occupational Therapist
  • Bergenfield, NJ
  • NPI 1023896321

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1742428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1821899402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 S FOREST DR",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "666 KINDERKAMACK RD",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076612153",
            "telephone_number": "201-305-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGARMAN",
        "first_name": "LISA",
        "middle_name": "SARA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-20",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NJ",
            "license": "46TR00392900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodie Sorkenn
• Joseph A Spinapolice, D.O.
• Sara Spoelstra, M.S. CCC-SLP
• Sports Foot and Ankle Center PC
• Taylor Strothmann, LAC
• Yana Sverdlova, D.M.D.
• Robert L Sylvester II, D.C.
• Andrew John Tashjian MD, MD
• The Eye Centre LLP
• Ileana Toledo, P.T.

• Pediatric Occupational Therapist in River Edge, NJ
• Providers in River Edge, NJ by specialty
• Pediatric Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.