Active NPIIndividual provider

Andrea Bautista

Occupational Therapy Assistant in Newark, New Jersey

NPI Number1619606191
Practice location
150 Bergen St, Newark, NJ 07103-2496
Fax
—
Last updated
June 9, 2022

Andrea Bautista is an Occupational Therapy Assistant based in Newark, NJ. Andrea Bautista practices in Newark, NJ. The NPI Number for Andrea Bautista is 1619606191 and holds a License No. 011003 (NY). The current practice location address for Andrea Bautista is 150 Bergen St, Newark, NJ 07103-2496 and can be reached out via phone at 973-972-3466.

Provider Profile Details

NPI Number
1619606191
Provider Name
Andrea Bautista
Provider Entity Type
Individual
Gender
Female
Address
150 Bergen St, Newark, NJ 07103-2496
Phone Number
973-972-3466
Primary Taxonomy
Occupational Therapy Assistant · 224Z00000X
Sole Proprietor
No
Provider Enumeration Date
June 9, 2022
Last Update Date
June 9, 2022
Certification Date
June 7, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
150 Bergen St
Newark, NJ 07103-2496
City
Newark
Zip
07103-2496
Phone Number
973-972-3466
Newark, NJ 07103Get directions →

Provider Business Mailing Address Details

Address
74 Maple St Unit 711
Jersey City, NJ 07304-4266
City
Jersey City
State
NJ
Zip
07304-4266
Phone Number
908-487-8122

License Information

License Number (1)
011003
License State (1)
NY
Taxonomy (1)
Occupational Therapy Assistant · 224Z00000X
License Number (2)
46TA09143200
License State (2)
NJ
Taxonomy (2)
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 Andrea Bautista?

The NPI number of Andrea Bautista is 1619606191. It was assigned on June 9, 2022 and is currently active in the NPPES registry.

What is the specialty of Andrea Bautista?

Andrea Bautista is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in NY under license number 011003.

Where does Andrea Bautista practice?

The practice location is 150 Bergen St, Newark, NJ 07103-2496. The office can be reached at 973-972-3466 (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 1619606191 directly on the NPPES registry website.

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