Active NPI
Heather Edgar Beland, OT
- Occupational Therapist
- Hazlet, NJ
National Provider Identifier
1891919031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 012179-1
- Practice address
- 3325 Rte 35
Hazlet, NJ 07730-1552 - Phone
- (917) 584-4884
- NPI assigned
- Apr 12, 2007
- 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 | 012179-1 | NY | Primary |
| Occupational Therapist | 225X00000X | TR00505100 | NJ |
Addresses
Primary practice location
3325 Rte 35
Hazlet, NJ 07730-1552
Mailing address
2 Indian Creek Rd
Holmdel, NJ 07733-1208
Phone (201) 338-2222
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
| License | State | Type | Specialty |
|---|---|---|---|
| TR00505100 | NJ | MD | Occupational Therapist |
| 012179-1 | NY | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334102400000",
"number": "1891919031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 INDIAN CREEK RD",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "077331208",
"telephone_number": "201-338-2222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3325 RTE 35",
"city": "HAZLET",
"state": "NJ",
"postal_code": "077301552",
"telephone_number": "917-584-4884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELAND",
"first_name": "HEATHER",
"middle_name": "EDGAR",
"name_prefix": "Miss",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-12",
"last_updated": "2012-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "012179-1",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "TR00505100",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hazlet, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.