Anthony Matthew Fattori, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

46TA09092800 Issued in NJ

Practice address

132 Evergreen Rd
Edison, NJ 08837-2484

Phone

(732) 452-4100

NPI assigned

Sep 19, 2017

Sex

Male

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": "1505779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1841719168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 CONERLY RD",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088732368",
            "telephone_number": "732-325-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 EVERGREEN RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372484",
            "telephone_number": "732-452-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "380 DeMott Ln",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "NJ",
            "postal_code": "088732762",
            "country_code": "US",
            "telephone_number": "732-873-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FATTORI",
        "first_name": "ANTHONY",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NJ",
            "license": "46TA09092800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Thomas Faraldo, MD
• Steven L. Farber, D.C.
• Amal Abdelghaffar Mohamed Farghaly
• Andrew Farkas, PHD, MD
• Jerome Farthing
• Victoria Feinberg
• Aaron J Feingold, M.D.
• Dee-Andre Ferguson
• Christian Fernandez, NP
• Manual A Fernandez, MD

• Occupational Therapy Assistant in Edison, NJ
• Providers in Edison, NJ by specialty
• Occupational Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.