Active NPIIndividual providerSole proprietor

Timothy De Guzman, OTA

Occupational Therapy Assistant in Newark, New Jersey

NPI Number1316553852
Practice location
1119 Broad St, Newark, NJ 07114-2501
Fax
973-732-3981
Last updated
September 21, 2020

Timothy De Guzman is an Occupational Therapy Assistant based in Newark, NJ. Timothy De Guzman practices in Newark, NJ and has the professional credentials of OTA. The NPI Number for Timothy De Guzman is 1316553852. The current practice location address for Timothy De Guzman is 1119 Broad St, Newark, NJ 07114-2501 and can be reached out via phone at 929-333-0882 and via fax at 973-732-3981.

Provider Profile Details

NPI Number
1316553852
Provider Name
Timothy De Guzman
Credential
OTA
Provider Entity Type
Individual
Gender
Male
Address
1119 Broad St, Newark, NJ 07114-2501
Phone Number
929-333-0882
Fax Number
973-732-3981
Primary Taxonomy
Occupational Therapy Assistant · 224Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 21, 2020
Last Update Date
September 21, 2020
Certification Date
September 21, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1119 Broad St
Newark, NJ 07114-2501
City
Newark
Zip
07114-2501
Phone Number
929-333-0882
Fax Number
973-732-3981
Newark, NJ 07114Get directions →

Provider Business Mailing Address Details

Address
61 Nance RD
West Orange, NJ 07052-1630
City
West Orange
State
NJ
Zip
07052-1630
Phone Number
973-900-1902

License Information

Taxonomy
Occupational Therapy Assistant · 224Z00000X · 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 Timothy De Guzman, OTA?

The NPI number of Timothy De Guzman, OTA is 1316553852. It was assigned on September 21, 2020 and is currently active in the NPPES registry.

What is the specialty of Timothy De Guzman, OTA?

Timothy De Guzman, OTA is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X).

Where does Timothy De Guzman, OTA practice?

The practice location is 1119 Broad St, Newark, NJ 07114-2501. The office can be reached at 929-333-0882 (phone) or 973-732-3981 (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 1316553852 directly on the NPPES registry website.

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