Active NPIIndividual provider

Ms. Carissa L Jannicelli-Pampanin, OCCUPATIONAL THERAPI

Occupational Therapist in Cedar Grove, New Jersey

NPI Number1336214154
Practice location
912 Pompton Ave Ste B1, Cedar Grove, NJ 07009-1264
Fax
973-239-9201
Last updated
April 13, 2021

Carissa L Jannicelli-Pampanin is an Occupational Therapist based in Cedar Grove, NJ. Carissa L Jannicelli-Pampanin practices in Cedar Grove, NJ and has the professional credentials of OCCUPATIONAL THERAPI. The NPI Number for Carissa L Jannicelli-Pampanin is 1336214154 and holds a License No. 46TR00314700 (NJ). The current practice location address for Carissa L Jannicelli-Pampanin is 912 Pompton Ave Ste B1, Cedar Grove, NJ 07009-1264 and can be reached out via phone at 973-239-1176 and via fax at 973-239-9201.

Provider Profile Details

NPI Number
1336214154
Provider Name
Carissa L Jannicelli-Pampanin
Credential
OCCUPATIONAL THERAPI
Provider Entity Type
Individual
Gender
Female
Address
912 Pompton Ave Ste B1, Cedar Grove, NJ 07009-1264
Phone Number
973-239-1176
Fax Number
973-239-9201
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
No
Provider Enumeration Date
November 21, 2006
Last Update Date
April 13, 2021
Certification Date
April 13, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
912 Pompton Ave Ste B1
Cedar Grove, NJ 07009-1264
Zip
07009-1264
Phone Number
973-239-1176
Fax Number
973-239-9201
Cedar Grove, NJ 07009Get directions →

Provider Business Mailing Address Details

Address
912 Pompton Ave Ste B1
Cedar Grove, NJ 07009-1264
City
Cedar Grove
State
NJ
Zip
07009-1264
Phone Number
973-239-1176
Fax Number
973-239-9201

License Information

Taxonomy (1)
Occupational Therapist · 225X00000X
License Number (2)
46TR00314700
License State (2)
NJ
Taxonomy (2)
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 Ms. Carissa L Jannicelli-Pampanin, OCCUPATIONAL THERAPI?

The NPI number of Ms. Carissa L Jannicelli-Pampanin, OCCUPATIONAL THERAPI is 1336214154. It was assigned on November 21, 2006 and is currently active in the NPPES registry.

What is the specialty of Ms. Carissa L Jannicelli-Pampanin, OCCUPATIONAL THERAPI?

Ms. Carissa L Jannicelli-Pampanin, OCCUPATIONAL THERAPI is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in NJ under license number 46TR00314700.

Where does Ms. Carissa L Jannicelli-Pampanin, OCCUPATIONAL THERAPI practice?

The practice location is 912 Pompton Ave Ste B1, Cedar Grove, NJ 07009-1264. The office can be reached at 973-239-1176 (phone) or 973-239-9201 (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 1336214154 directly on the NPPES registry website.

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