Individual provider Active NPI

Janneth Gallosa

  • Occupational Therapist
  • Little Falls, NJ
National Provider Identifier
1962867234
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00432500 Issued in NJ
Practice address
201 Lower Notch Rd # a-3
Little Falls, NJ 07424-1802
Phone
(973) 837-6600
NPI assigned
Dec 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2015

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 46TR00432500 NJ Primary

Addresses

Primary practice location

201 Lower Notch Rd # a-3
Little Falls, NJ 07424-1802

Mailing address

39 Tichenor St
Newark, NJ 07102-3315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160127000126 NJ Practitioner - Occupational Therapist in Private Practice 8224331178 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holsman Physical and Occupational Therapy PCGroup PAC ID 8426294455, 17 clinicians
Home Therapy, LLCGroup PAC ID 9931252848, 10 clinicians

Practice addresses (Care Compare)

1600 Saint Georges Ave
Suite 107
Rahway, NJ 07065-2713
Phone (732) 428-5566

1700 State RT
Suite 3
Clifton, NJ 07013-3928
Phone (862) 591-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR00432500NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Holsman Physical Therapy and Wellness PC CurrentSince Aug 8, 2018 Accepting new patients
Holsman Physical and Occupational Therapy PC Occupational Therapist CurrentSince Aug 8, 2018 Accepting new patients
Holsman Physical Therapy and Rehabilitation PC Occupational Therapist CurrentSince Aug 8, 2018 Accepting new patients
Holsman Physical and Occupational Therapy, PC Occupational Therapist CurrentSince Aug 8, 2018 Accepting new patients
Home Therapy, LLC Occupational Therapist CurrentSince Aug 8, 2018 Accepting new patients

Locations

408 Pompton Ave
Cedar Grove, NJ 07009
Phone (973) 433-0732

1700 State Rt 3
Clifton, NJ 07013
Phone (862) 249-4901

1070 Clifton Ave
Ste 1A
Clifton, NJ 07013
Phone (973) 246-6565

711 Kearny Ave
#2
Kearny, NJ 07032
Phone (201) 535-8555

1600 Saint Georges Ave
Ste 107
Rahway, NJ 07065
Phone (732) 428-5566

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1962867234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 TICHENOR ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071023315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 LOWER NOTCH RD # A-3",
            "city": "LITTLE FALLS",
            "state": "NJ",
            "postal_code": "074241802",
            "telephone_number": "973-837-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLOSA",
        "first_name": "JANNETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-30",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00432500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Falls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.