Individual provider Active NPI

Debra Ann Oliveras, MSOT

  • Pediatric Occupational Therapist
  • Newark, NJ
National Provider Identifier
1952743270
Registry record updated Jul 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
46TR00564100 Issued in NJ
Practice address
65 Bergen St
Newark, NJ 07107-3001
Phone
(973) 972-0186
NPI assigned
Jul 28, 2013
Last updated
Jul 28, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2013

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 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

Enrollment IDStateProvider typePAC IDDetails
I20230209002414 NJ Practitioner - Occupational Therapist in Private Practice 7012389521 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR00564100NJMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Physical Therapy LLC CurrentSince Jan 3, 2026 Accepting new patients
Fox Rehabilitation Services Inc CurrentSince Jan 1, 2023 Accepting new patients
Stern at Home Physical Therapy PC CurrentSince Dec 1, 2025 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.

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.

Verify at the official NPI Registry.