Amelia Chulyakov, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR01023100 Issued in NJ

Practice address

89 US Highway 46
Denville, NJ 07834-2744

Phone

(201) 650-0048

NPI assigned

Oct 31, 2021

Last updated

Oct 31, 2021By the provider in NPPES

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

Other identifiers 1

Electronic endpoints 1

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": "1635638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635638400000",
    "number": "1831854363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 SHAWNEE AVE",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078661505",
            "telephone_number": "201-650-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 US HIGHWAY 46",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342744",
            "telephone_number": "201-650-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHULYAKOV",
        "first_name": "AMELIA",
        "name_prefix": "Dr.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-31",
        "last_updated": "2021-10-31",
        "certification_date": "2021-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01023100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46TR01023100",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Rockaway",
            "affiliation": "N",
            "address_1": "89 US Highway 46",
            "city": "Denville",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "078342744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jaswinder Kaur Chilana, MD
• Weslie Chiu
• Mei Chou, L.AC
• Karan Chouhan
• Ravleen Chowdhary, MBBS
• Joseph A Cicitta, RPH
• Richard Claps, M.D.
• Clifford Moore PSYD LLC
• Kara Gail Clifford, APN
• Elena J Cobleigh, APN C

• Occupational Therapist in Denville, NJ
• Providers in Denville, 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 Oct 31, 2021; 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.