Individual provider Active NPI

Meghan Grace Digerolamo, OTR

  • Occupational Therapist
  • Hackensack, NJ
National Provider Identifier
1851920995
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00787300 Issued in NJ
Practice address
50 Polifly Rd
Hackensack, NJ 07601-3287
Phone
(862) 258-0007
NPI assigned
Apr 1, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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 46TR00787300 NJ Primary

Addresses

Primary practice location

50 Polifly Rd
Hackensack, NJ 07601-3287

Mailing address

55 Riverwalk PL Apt 314
West New York, NJ 07093-7811
Phone (862) 258-0007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
46TR00787300NJMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1851920995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 RIVERWALK PL APT 314",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070937811",
            "telephone_number": "862-258-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 POLIFLY RD",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076013287",
            "telephone_number": "862-258-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGEROLAMO",
        "first_name": "MEGHAN",
        "middle_name": "GRACE",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-01",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00787300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; 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.