Marybeth Medina
Occupational Therapy Assistant in Fairview, New Jersey
1528788387- Practice location
- 667 Prospect Ave, Fairview, NJ 07022-2298
- Phone
- 201-238-8844
- Fax
- —
- Last updated
- August 31, 2022
Marybeth Medina is an Occupational Therapy Assistant based in Fairview, NJ. Marybeth Medina practices in Fairview, NJ. The NPI Number for Marybeth Medina is 1528788387 and holds a License No. 46TA09205500 (NJ). The current practice location address for Marybeth Medina is 667 Prospect Ave, Fairview, NJ 07022-2298 and can be reached out via phone at 201-238-8844.
Provider Profile Details
- NPI Number
- 1528788387
- Provider Name
- Marybeth Medina
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 667 Prospect Ave, Fairview, NJ 07022-2298
- Phone Number
- 201-238-8844
- Primary Taxonomy
- Occupational Therapy Assistant · 224Z00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 31, 2022
- Last Update Date
- August 31, 2022
- Certification Date
- August 31, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 667 Prospect Ave
Fairview, NJ 07022-2298 - City
- Fairview
- State
- New Jersey
- Zip
- 07022-2298
- Phone Number
- 201-238-8844
Provider Business Mailing Address Details
- Address
- 667 Prospect Ave
Fairview, NJ 07022-2298 - City
- Fairview
- State
- NJ
- Zip
- 07022-2298
- Phone Number
- 201-238-8844
License Information
- License Number
- 46TA09205500
- License State
- NJ
- Taxonomy
- Occupational Therapy Assistant · 224Z00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Marybeth Medina?
The NPI number of Marybeth Medina is 1528788387. It was assigned on August 31, 2022 and is currently active in the NPPES registry.
What is the specialty of Marybeth Medina?
Marybeth Medina is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in NJ under license number 46TA09205500.
Where does Marybeth Medina practice?
The practice location is 667 Prospect Ave, Fairview, NJ 07022-2298. The office can be reached at 201-238-8844 (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 1528788387 directly on the NPPES registry website.