Individual provider Active NPI

Manisha Shroff-Duggirala, OTR CHT

  • Hand Occupational Therapist
  • Raritan, NJ
National Provider Identifier
1982686879
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
46TR00245600 Issued in NJ
Practice address
503 Route 202 Unit C
Raritan, NJ 08869-1535
Phone
(908) 800-7870
Fax
(908) 800-7871
NPI assigned
Nov 16, 2005
Last updated
Aug 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 46TR00245600 NJ Primary

Addresses

Primary practice location

503 Route 202 Unit C
Raritan, NJ 08869-1535

Mailing address

1377 Motor Pkwy Ste 307
Islandia, NY 11749-5258
Phone (631) 580-5200

Other practice location 1

7 Cedar Grove Ln Ste 39
Somerset, NJ 08873-1331
Phone (732) 469-5680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR00245600NJMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Network Inc. CurrentSince Aug 31, 2020 Accepting new patients
Ivyrehab Network, Inc. Hand CurrentSince Aug 31, 2020 Accepting new patients
Professional Orthopedic and Sports Physical Therapy of N.J., L.L.C. Past Accepting new patients

Locations

731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780

977 Valley Rd
Unit G
Gillette, NJ 07933
Phone (908) 350-6650

454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905

503 Route 202
Unit C
Raritan, NJ 08869
Phone (908) 800-7870

1377 Motor Pkwy
Ste 307
Ronkonkoma, NY 11749

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": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1982686879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1377 MOTOR PKWY STE 307",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117495258",
            "telephone_number": "631-580-5200",
            "fax_number": "631-760-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 ROUTE 202 UNIT C",
            "city": "RARITAN",
            "state": "NJ",
            "postal_code": "088691535",
            "telephone_number": "908-800-7870",
            "fax_number": "908-800-7871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Cedar Grove Ln Ste 39",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "NJ",
            "postal_code": "088731331",
            "country_code": "US",
            "telephone_number": "732-469-5680",
            "fax_number": "732-868-1422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHROFF-DUGGIRALA",
        "first_name": "MANISHA",
        "name_prefix": "Mrs.",
        "credential": "OTR CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-16",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NJ",
            "license": "46TR00245600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raritan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.