Individual provider Active NPI

Emily Anne Buss, OTR/L

  • Occupational Therapist
  • Bayonne, NJ
National Provider Identifier
1891425013
Registry record updated Jun 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR01063600 Issued in NJ
Practice address
305 Bayonne Crossing Way
Bayonne, NJ 07002-5304
Phone
(201) 778-2020
Fax
(201) 786-6299
NPI assigned
Jun 11, 2022
Last updated
Jun 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR01063600 NJ Primary
Occupational Therapist 225X00000X 026825 NY

Addresses

Primary practice location

305 Bayonne Crossing Way
Bayonne, NJ 07002-5304

Mailing address

253 Deems Ave
Staten Island, NY 10314-3105
Phone (347) 738-3288

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
46TR01063600NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Enjoy Jersey Services LLC Occupational Therapist CurrentSince Nov 17, 2024 Accepting new patients
Rapha Wellness Center, PC CurrentSince Jun 21, 2022 Accepting new patients

Locations

305 Bayonne Crossing Way
Bayonne, NJ 07002
Phone (201) 778-2020

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1654905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654905600000",
    "number": "1891425013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 DEEMS AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143105",
            "telephone_number": "347-738-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 BAYONNE CROSSING WAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070025304",
            "telephone_number": "201-778-2020",
            "fax_number": "201-786-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSS",
        "first_name": "EMILY",
        "middle_name": "ANNE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-11",
        "last_updated": "2022-06-11",
        "certification_date": "2022-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01063600",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "026825",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2022; 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.