Darlyn Benemerito Bawasanta, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00433000 Issued in NJ

Practice address

290 Red School Lane
Brakeley Park Center
Lopatcong, NJ 08865

Phone

(908) 859-2800

NPI assigned

Sep 8, 2011

Last updated

Sep 8, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Yonder Health Corporation

  • Physical Therapy Clinic/Center
  • Morris Plains, NJ
  • NPI 1093481152
  Medicare reassignment NPD

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315440000000",
    "number": "1841571403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 HAMILTON DR",
            "city": "STEWARTSVILLE",
            "state": "NJ",
            "postal_code": "088862654",
            "telephone_number": "908-265-2567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 RED SCHOOL LANE",
            "address_2": "BRAKELEY PARK CENTER",
            "city": "LOPATCONG",
            "state": "NJ",
            "postal_code": "08865",
            "telephone_number": "908-859-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAWASANTA",
        "first_name": "DARLYN",
        "middle_name": "BENEMERITO",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-08",
        "last_updated": "2011-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00433000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Victoria Conroy, MS CCC SLP

• Occupational Therapist in Lopatcong, NJ
• Providers in Lopatcong, 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 Sep 8, 2011; 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.