Jacqueline Berman, MS OT R/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00592600 Issued in NJ

Practice address

333 Bloomfield Ave Ste 102
Caldwell, NJ 07006-5105

Phone

(973) 744-0804

NPI assigned

Jun 20, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jackie Markowitz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1972164911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 EVERGREEN LN",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078694755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 BLOOMFIELD AVE STE 102",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065105",
            "telephone_number": "973-744-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "JACQUELINE",
        "credential": "MS OT R/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00592600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACKIE",
            "last_name": "MARKOWITZ",
            "credential": "MS OT R/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Barretti, MA, LPC
• Fred Stephen Bauer, DMD
• Bayan S. Rafee D.D.S. PA
• Karen Lee Benenson, LCSW
• Michele Bergamotto
• Gillian Aldworth Betcher
• Parth Bhagat, DPT
• Warren Jay Bleiweiss, MD
• Malika Bola
• Borough of Caldwell

• Occupational Therapist in Caldwell, NJ
• Providers in Caldwell, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.