Amanda Emily Duimstra, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00935200 Issued in NJ

Practice address

2 Worlds Fair Dr
Somerset, NJ 08873-1369

Phone

(732) 504-3649

NPI assigned

Jul 20, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthonj LLCGroup PAC ID 6800225178, 302 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Orthonj LLC

  • Orthopaedic Surgery Physician
  • Somerset, NJ
  • NPI 1720557432
  Medicare reassignment Care Compare group NPD
• Orthonj LLC

  • Durable Medical Equipment & Medical Supplies
  • Galloway, NJ
  • NPI 1487448312
  NPD

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1902414550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WORLDS FAIR DR",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WORLDS FAIR DR",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731369",
            "telephone_number": "732-504-3649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUIMSTRA",
        "first_name": "AMANDA",
        "middle_name": "EMILY",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00935200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Drug Fair Group, Inc.
• Drug Fair Group, Inc.
• Giancarlo Silverio Dua, PTA
• Sandip Dua
• Yarissa Duarte
• Eusebio Dulog
• Dungarvin New Jersey, LLC - Victory Day Program
• Dungarvin New Jersey, LLC-Rachel
• Dungarvin New Jersey, LLC-Somerset Day Program Atid
• Chrystal Dunkers, LPC

• Occupational Therapist in Somerset, NJ
• Providers in Somerset, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; 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.