Individual provider Active NPI

Mariemel Gorospe

  • Occupational Therapist
  • Monmouth Junction, NJ
National Provider Identifier
1851718969
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00427300 Issued in NJ
Practice address
2 Deerpark Dr
Monmouth Junction, NJ 08852-1919
Phone
(732) 274-8568
NPI assigned
Mar 26, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00427300 NJ Primary

Addresses

Primary practice location

2 Deerpark Dr
Monmouth Junction, NJ 08852-1919

Mailing address

1304 N Oaks Blvd
North Brunswick, NJ 08902-2157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170616000298 NJ Practitioner - Occupational Therapist in Private Practice 8123396157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Leading RehabilitationGroup PAC ID 5799076287, 5 clinicians

Practice addresses (Care Compare)

45 Bridge St
Metuchen, NJ 08840-2278
Phone (732) 662-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR00427300NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Leading Rehabilitation CurrentSince May 1, 2017 Accepting new patients

Locations

45 Bridge St
Metuchen, NJ 08840
Phone (732) 662-1800

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1851718969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 N OAKS BLVD",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089022157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 DEERPARK DR",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "088521919",
            "telephone_number": "732-274-8568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOROSPE",
        "first_name": "MARIEMEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-26",
        "last_updated": "2014-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00427300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monmouth Junction, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.