Active NPIIndividual provider

Alicia Bergen, COTA/L

Occupational Therapy Assistant in Oakland, New Jersey

NPI Number1124764139
Practice location
350 Ramapo Valley RD Ste 100, Oakland, NJ 07436-2702
Fax
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Last updated
November 21, 2025

Alicia Bergen is an Occupational Therapy Assistant based in Oakland, NJ. Alicia Bergen practices in Oakland, NJ and has the professional credentials of COTA/L. The NPI Number for Alicia Bergen is 1124764139 and holds a License No. 008957 (NY). The current practice location address for Alicia Bergen is 350 Ramapo Valley RD Ste 100, Oakland, NJ 07436-2702 and can be reached out via phone at 973-830-9248.

Provider Profile Details

NPI Number
1124764139
Provider Name
Alicia Bergen
Credential
COTA/L
Provider Entity Type
Individual
Gender
Female
Address
350 Ramapo Valley RD Ste 100, Oakland, NJ 07436-2702
Phone Number
973-830-9248
Primary Taxonomy
Occupational Therapy Assistant · 224Z00000X
Sole Proprietor
No
Provider Enumeration Date
May 11, 2022
Last Update Date
November 21, 2025
Certification Date
November 21, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
350 Ramapo Valley RD Ste 100
Oakland, NJ 07436-2702
Zip
07436-2702
Phone Number
973-830-9248
Oakland, NJ 07436Get directions →

Provider Business Mailing Address Details

Address
825 Berkley St Apt D
New Milford, NJ 07646-5347
City
New Milford
State
NJ
Zip
07646-5347
Phone Number
973-580-9425

License Information

License Number (1)
008957
License State (1)
NY
Taxonomy (1)
Occupational Therapy Assistant · 224Z00000X · Primary
License State (2)
NJ
Taxonomy (2)
Technician, Other · 247200000X

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 Alicia Bergen, COTA/L?

The NPI number of Alicia Bergen, COTA/L is 1124764139. It was assigned on May 11, 2022 and is currently active in the NPPES registry.

What is the specialty of Alicia Bergen, COTA/L?

Alicia Bergen, COTA/L is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in NY under license number 008957.

Where does Alicia Bergen, COTA/L practice?

The practice location is 350 Ramapo Valley RD Ste 100, Oakland, NJ 07436-2702. The office can be reached at 973-830-9248 (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 1124764139 directly on the NPPES registry website.

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