Active NPIIndividual provider

Katrina Iledan

Occupational Therapist in Midland Park, New Jersey

NPI Number1063197374
Practice location
85 Godwin Ave, Midland Park, NJ 07432-1970
Fax
—
Last updated
June 15, 2023

Katrina Iledan is an Occupational Therapist based in Midland Park, NJ. Katrina Iledan practices in Midland Park, NJ. The NPI Number for Katrina Iledan is 1063197374 and holds a License No. 46TR01128700 (NJ). The current practice location address for Katrina Iledan is 85 Godwin Ave, Midland Park, NJ 07432-1970 and can be reached out via phone at 201-639-8870.

Provider Profile Details

NPI Number
1063197374
Provider Name
Katrina Iledan
Provider Entity Type
Individual
Gender
Female
Address
85 Godwin Ave, Midland Park, NJ 07432-1970
Phone Number
201-639-8870
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
No
Provider Enumeration Date
June 15, 2023
Last Update Date
June 15, 2023
Certification Date
June 15, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
85 Godwin Ave
Midland Park, NJ 07432-1970
Zip
07432-1970
Phone Number
201-639-8870
Midland Park, NJ 07432Get directions →

Provider Business Mailing Address Details

Address
1311 Mamaroneck Ave Ste 140
White Plains, NY 10605-5224
City
White Plains
State
NY
Zip
10605-5224
Phone Number
914-294-4050

License Information

License Number
46TR01128700
License State
NJ
Taxonomy
Occupational Therapist · 225X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Katrina Iledan?

The NPI number of Katrina Iledan is 1063197374. It was assigned on June 15, 2023 and is currently active in the NPPES registry.

What is the specialty of Katrina Iledan?

Katrina Iledan is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in NJ under license number 46TR01128700.

Where does Katrina Iledan practice?

The practice location is 85 Godwin Ave, Midland Park, NJ 07432-1970. The office can be reached at 201-639-8870 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063197374 directly on the NPPES registry website.

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