Ewa Bogacz, OT

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

46TR00570800 Issued in NJ

Practice address

12-15 Saddle River
Maple Glen Center
Fair Lawn, NJ 07410

Phone

(201) 797-9522

NPI assigned

May 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1881801298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 BATHURST AVE",
            "city": "NORTH ARLINGTON",
            "state": "NJ",
            "postal_code": "070316106",
            "telephone_number": "201-955-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12-15 SADDLE RIVER",
            "address_2": "MAPLE GLEN CENTER",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "07410",
            "telephone_number": "201-797-9522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGACZ",
        "first_name": "EWA",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2012-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "NY",
            "license": "003925-1",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "46TR00570800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Leigh Blodgett, MS, OTR-L, CBIS
• Clifford Bloom
• Sarah-Valin Bloom, MSW LCSW
• Blossom NP in Psychiatry Health PLL
• Boberick ABA Services LLC
• Tahira Bokhari, MD
• Anthony A Bolognini
• Nicholas Bombardier, OTR
• Bomzer Psychological Associates LLC
• Philip Bomzer, PSY.D.

• Skilled Nursing Facility in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Skilled Nursing Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.