Individual provider Active NPI

Elvira Njume

  • Occupational Therapy Assistant
  • Newark, NJ
National Provider Identifier
1992246664
Registry record updated Jul 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
Practice address
179 Keer Ave
Newark, NJ 07112-1709
Phone
(862) 224-2614
NPI assigned
Mar 15, 2017
Reactivated
Jul 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Occupational Therapy Assistant 224Z00000X Primary

Addresses

Primary practice location

179 Keer Ave
Newark, NJ 07112-1709

Mailing address

179 Keer Ave
Newark, NJ 07112-1709
Phone (862) 224-2614

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1992246664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 KEER AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071121709",
            "telephone_number": "862-224-2614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 KEER AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071121709",
            "telephone_number": "862-224-2614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NJUME",
        "first_name": "ELVIRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-15",
        "last_updated": "2019-07-19",
        "deactivation_date": "2019-06-19",
        "reactivation_date": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "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 19, 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.