Active NPIIndividual providerSole proprietor

Jayne Rock-Gangale, OT

Community Health Worker in Bloomfield, New Jersey

NPI Number1104362623
Practice location
194 Montgomery St, Bloomfield, NJ 07003-4926
Fax
973-337-5327
Last updated
January 7, 2017

Jayne Rock-Gangale is a Community Health Worker based in Bloomfield, NJ. Jayne Rock-Gangale practices in Bloomfield, NJ and has the professional credentials of OT. The NPI Number for Jayne Rock-Gangale is 1104362623 and holds a License No. 46TR00222200 (NJ). The current practice location address for Jayne Rock-Gangale is 194 Montgomery St, Bloomfield, NJ 07003-4926 and can be reached out via phone at 973-495-8409 and via fax at 973-337-5327.

Provider Profile Details

NPI Number
1104362623
Provider Name
Jayne Rock-Gangale
Credential
OT
Provider Entity Type
Individual
Gender
Female
Address
194 Montgomery St, Bloomfield, NJ 07003-4926
Phone Number
973-495-8409
Fax Number
973-337-5327
Primary Taxonomy
Community Health Worker · 172V00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 7, 2017
Last Update Date
January 7, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
194 Montgomery St
Bloomfield, NJ 07003-4926
Zip
07003-4926
Phone Number
973-495-8409
Fax Number
973-337-5327
Bloomfield, NJ 07003Get directions →

Provider Business Mailing Address Details

Address
194 Montgomery St
Bloomfield, NJ 07003-4926
City
Bloomfield
State
NJ
Zip
07003-4926
Phone Number
973-495-8409
Fax Number
973-337-5327

License Information

License Number
46TR00222200
License State
NJ
Taxonomy
Community Health Worker · 172V00000X · 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 Jayne Rock-Gangale, OT?

The NPI number of Jayne Rock-Gangale, OT is 1104362623. It was assigned on January 7, 2017 and is currently active in the NPPES registry.

What is the specialty of Jayne Rock-Gangale, OT?

Jayne Rock-Gangale, OT is registered under the primary taxonomy Community Health Worker (code 172V00000X), licensed in NJ under license number 46TR00222200.

Where does Jayne Rock-Gangale, OT practice?

The practice location is 194 Montgomery St, Bloomfield, NJ 07003-4926. The office can be reached at 973-495-8409 (phone) or 973-337-5327 (fax).

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 1104362623 directly on the NPPES registry website.

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