Individual provider Active NPI

Kijai Herring

  • Occupational Therapist
  • Atlantic City, NJ
National Provider Identifier
1972302685
Registry record updated Mar 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR01224800 Issued in NJ
Practice address
101 Boardwalk
Atlantic City, NJ 08401-7957
Phone
(732) 233-1107
NPI assigned
Mar 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2025

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 46TR01224800 NJ Primary

Addresses

Primary practice location

101 Boardwalk
Atlantic City, NJ 08401-7957

Mailing address

101 Boardwalk
Atlantic City, NJ 08401-7957

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250320000906 NJ Practitioner - Occupational Therapist in Private Practice 3274055157 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Physical Therapy Center LLCGroup PAC ID 0345372793, 2 clinicians

Practice addresses (Care Compare)

795 Pkwy Ave
Unit 2
Ewing, NJ 08618-2704
Phone (732) 814-8900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR01224800NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Varsha Pohuja LLC Occupational Therapist CurrentSince Mar 1, 2025 Accepting new patients
New Way Rehabilitation LLC CurrentSince Mar 1, 2025 Accepting new patients
Coastal Physical Therapy Center LLC Occupational Therapist CurrentSince Mar 1, 2025 Accepting new patients
Elite Mental Health LLC CurrentSince Sep 1, 2021 Accepting new patients

Locations

795 Parkway Ave
Ste A2
Ewing, NJ 08618
Phone (862) 781-3499

795 Parkway Ave
Unit 2
Ewing, NJ 08618
Phone (732) 814-8900

357 Buckelew Ave
Monroe Twp, NJ 08831
Phone (732) 521-1194

Organizations & group practices 4

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": "1741824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741996800000",
    "number": "1972302685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BOARDWALK",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084017957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BOARDWALK",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084017957",
            "telephone_number": "732-233-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRING",
        "first_name": "KIJAI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-13",
        "last_updated": "2025-03-15",
        "certification_date": "2025-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01224800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2025; 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.