Active NPI
Emily Kulesza, OTR/L
- Occupational Therapist
- Forked River, NJ
National Provider Identifier
1871151852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR00931800
- Practice address
- 424 S Main St
Forked River, NJ 08731-4654 - Phone
- (609) 971-3500
- Fax
- (609) 971-3545
- NPI assigned
- Jun 4, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 13086 | MA | |
| Occupational Therapist | 225X00000X | 46TR00931800 | NJ | Primary |
Addresses
Primary practice location
424 S Main St
Forked River, NJ 08731-4654
Mailing address
216 Princeton Ave
Brick, NJ 08724-4372
Phone (732) 425-3771
Other practice location 1
10P Gill St
Woburn, MA 01801-1721
Phone (781) 932-2888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13086 | MA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Center | Current | Accepting new patients | |
| Multiple Sclerosis Specialty Center | Current | Accepting new patients |
Locations
801 Route 73 N
Ste C
Marlton, NJ 08053
Phone (856) 853-7577
9000 Midlantic Dr
Ste 101
Mount Laurel, NJ 08054
Phone (856) 424-5552
800 Jessup Rd
Ste 803A
West Deptford, NJ 08086
Phone (845) 542-2273
Organizations & group practices 2
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.
-
- Chiropractor
- Woodbury, NJ
- NPI 1336193416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591747200000",
"number": "1871151852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 PRINCETON AVE",
"city": "BRICK",
"state": "NJ",
"postal_code": "087244372",
"telephone_number": "732-425-3771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "424 S MAIN ST",
"city": "FORKED RIVER",
"state": "NJ",
"postal_code": "087314654",
"telephone_number": "609-971-3500",
"fax_number": "609-971-3545"
}
],
"practiceLocations": [
{
"address_1": "10P Gill St",
"address_purpose": "LOCATION",
"city": "Woburn",
"state": "MA",
"postal_code": "018011721",
"country_code": "US",
"telephone_number": "781-932-2888",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KULESZA",
"first_name": "EMILY",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-04",
"last_updated": "2020-06-10",
"certification_date": "2020-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "13086",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR00931800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forked River, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; 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.