Active NPI
Debra Ann Oliveras, MSOT
- Pediatric Occupational Therapist
- Newark, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 46TR00564100
- Practice address
- 65 Bergen St
Newark, NJ 07107-3001 - Phone
- (973) 972-0186
- NPI assigned
- Jul 28, 2013
- Last updated
- Jul 28, 2013
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 46TR00564100 | NJ | Primary |
Addresses
Primary practice location
65 Bergen St
Newark, NJ 07107-3001
Mailing address
5 John St
Lincoln Park, NJ 07035-1211
Phone (732) 522-4078
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR00564100 | NJ | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Physical Therapy LLC | Current | Accepting new patients | |
| Fox Rehabilitation Services Inc | Current | Accepting new patients | |
| Stern at Home Physical Therapy PC | Current | Accepting new patients |
Locations
872 E Main St
Bridgewater, NJ 08807
Phone (908) 725-2995
7 Carnegie Plz
Cherry Hill, NJ 08003
407 W Delilah Rd
Pleasantville, NJ 08232
Phone (609) 289-2331
265 State Route 36
Ste 207
West Long Branch, NJ 07764
Phone (845) 625-2815
800 E Gate Blvd
Garden City, NY 11530
4 Medical Park Dr
Ste B
Pomona, NY 10970
Phone (845) 354-3131
Organizations & group practices 3
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.
-
dba Stern At Home Therapy
- Physical Medicine & Rehabilitation Physician
- Pomona, NY
- NPI 1720563380
NJ
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374969600000",
"number": "1952743270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 JOHN ST",
"city": "LINCOLN PARK",
"state": "NJ",
"postal_code": "070351211",
"telephone_number": "732-522-4078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 BERGEN ST",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071073001",
"telephone_number": "973-972-0186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVERAS",
"first_name": "DEBRA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "MSOT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-28",
"last_updated": "2013-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NJ",
"license": "46TR00564100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.