Individual provider Active NPI

Melissa Langewisch, OT

  • Occupational Therapist
  • Lyndhurst, NJ
National Provider Identifier
1861897878
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00065500 Issued in NJ
Practice address
724 Ridge Rd
Lyndhurst, NJ 07071-3216
Phone
(201) 500-9812
Fax
(201) 500-9812
NPI assigned
Nov 3, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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 46TR00065500 NJ Primary

Addresses

Primary practice location

724 Ridge Rd
Lyndhurst, NJ 07071-3216

Mailing address

724 Ridge Rd
Lyndhurst, NJ 07071-3216
Phone (201) 500-9812

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230619000188 NJ Practitioner - Occupational Therapist in Private Practice 3678931946 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holsman Physical and Occupational Therapy PCGroup PAC ID 8426294455, 17 clinicians

Practice addresses (Care Compare)

1600 Saint Georges Ave
Suite 107
Rahway, NJ 07065-2713
Phone (732) 428-5566

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR00065500NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Home Therapy, LLC Occupational Therapist CurrentSince Jun 5, 2023 Accepting new patients
Holsman Physical Therapy and Wellness PC CurrentSince Jun 5, 2023 Accepting new patients
Holsman Physical Therapy and Wellness PC Occupational Therapist CurrentSince Oct 22, 2023 Accepting new patients
Holsman Physical and Occupational Therapy PC Occupational Therapist CurrentSince Jun 5, 2023 Accepting new patients
Holsman Physical and Occupational Therapy, PC Occupational Therapist CurrentSince Jun 5, 2023 Accepting new patients

Locations

408 Pompton Ave
Cedar Grove, NJ 07009
Phone (973) 433-0732

1700 State Rt 3
Clifton, NJ 07013
Phone (862) 249-4901

15-01 Broadway
Ste 12
Fair Lawn, NJ 07410
Phone (201) 355-5199

724 Ridge Rd
Lyndhurst, NJ 07071
Phone (201) 500-9812

1600 Saint Georges Ave
Ste 107
Rahway, NJ 07065
Phone (732) 428-5566

Organizations & group practices 5

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": "1414972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1861897878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 RIDGE RD",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070713216",
            "telephone_number": "201-500-9812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 RIDGE RD",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070713216",
            "telephone_number": "201-500-9812",
            "fax_number": "201-500-9812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGEWISCH",
        "first_name": "MELISSA",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-03",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00065500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndhurst, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.