Active NPI
Monalissa Antoine, COTA/L
- Occupational Therapy Assistant
- Cedar Grove, NJ
National Provider Identifier
1912390576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 46TA09055400
- Practice address
- 398 Pompton Ave
Cedar Grove, NJ 07009 - Phone
- (973) 559-9096
- Fax
- (973) 239-5864
- NPI assigned
- Mar 6, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 46TA09055400 | NJ | Primary |
Addresses
Primary practice location
398 Pompton Ave
Cedar Grove, NJ 07009
Mailing address
1940 Commerce Street
Suite 210
Yorktown Heights, NY 10598
Phone (914) 631-9020
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 |
|---|---|---|---|
| 46TA09055400 | NJ | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425600000000",
"number": "1912390576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1940 COMMERCE STREET",
"address_2": "SUITE 210",
"city": "YORKTOWN HEIGHTS",
"state": "NY",
"postal_code": "10598",
"telephone_number": "914-631-9020",
"fax_number": "914-631-9028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "398 POMPTON AVE",
"city": "CEDAR GROVE",
"state": "NJ",
"postal_code": "07009",
"telephone_number": "973-559-9096",
"fax_number": "973-239-5864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTOINE",
"first_name": "MONALISSA",
"name_prefix": "Ms.",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-06",
"last_updated": "2015-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NJ",
"license": "46TA09055400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Grove, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.