Individual provider Active NPI

Deepali Shrinivas Yawalkar, OTR, MPH

  • Occupational Therapist
  • South Plainfield, NJ
National Provider Identifier
1912177429
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00092100 Issued in NJ
Practice address
107 Margaret CT
South Plainfield, NJ 07080-2370
Phone
(908) 822-1707
NPI assigned
Mar 11, 2008
Last updated
Dec 13, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00092100 NJ Primary

Addresses

Primary practice location

107 Margaret CT
South Plainfield, NJ 07080-2370

Mailing address

107 Margaret CT
South Plainfield, NJ 07080-2370

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR00092100NJMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323734400000",
    "number": "1912177429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 MARGARET CT",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070802370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 MARGARET CT",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070802370",
            "telephone_number": "908-822-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAWALKAR",
        "first_name": "DEEPALI",
        "middle_name": "SHRINIVAS",
        "name_prefix": "Mrs.",
        "credential": "OTR, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-11",
        "last_updated": "2011-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00092100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Plainfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.