Mara Jade Gilfedder, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR01176000 Issued in NJ

Practice address

301 Sicomac Ave
Wyckoff, NJ 07481-2159

Phone

(201) 848-5855

NPI assigned

Apr 29, 2024

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

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1841046984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 MOUNT HOPE AVE APT A22",
            "city": "DOVER",
            "state": "NJ",
            "postal_code": "078011847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SICOMAC AVE",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074812159",
            "telephone_number": "201-848-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILFEDDER",
        "first_name": "MARA",
        "middle_name": "JADE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01176000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Geen
• Carole Gelfer, PH.D.
• Genesis Rehab Servises
• George J. Martino, MD, PA
• Youstina M Gerges, DPT
• Barry H Ginsberg, MD
• Giuseppe Giovatto Jr., D.C.
• Abbie Gitkin, CCC SLP
• Nicole Danielle Giuffre
• Lauren Gleason

• Occupational Therapist in Wyckoff, NJ
• Providers in Wyckoff, 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 Apr 29, 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.

Verify at the official NPI Registry.