Individual provider Active NPI

Christina Kaylee Nied, MS, OTR/L

  • Pediatric Occupational Therapist
  • Lafayette, NJ
National Provider Identifier
1942842182
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
46TR00892400 Issued in NJ
Practice address
156 RT. 15 North
Lafayette, NJ 07848
Phone
(973) 862-6377
NPI assigned
Oct 9, 2019
Last updated
Oct 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 46TR00892400 NJ Primary

Addresses

Primary practice location

156 RT. 15 North
Lafayette, NJ 07848

Mailing address

6 Karen PL
Budd Lake, NJ 07828-1014
Phone (201) 919-4560

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
46TR00892400NJMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Damon Physical Therapy CurrentSince May 10, 2020 Accepting new patients
Performance Pediatrics Pediatrics PastSince Oct 13, 2019 Accepting new patients

Locations

156 State Route 15
Lafayette, NJ 07848
Phone (973) 237-1975

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": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1942842182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 KAREN PL",
            "city": "BUDD LAKE",
            "state": "NJ",
            "postal_code": "078281014",
            "telephone_number": "201-919-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 RT. 15 NORTH",
            "city": "LAFAYETTE",
            "state": "NJ",
            "postal_code": "07848",
            "telephone_number": "973-862-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIED",
        "first_name": "CHRISTINA",
        "middle_name": "KAYLEE",
        "name_prefix": "Ms.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-09",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NJ",
            "license": "46TR00892400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.