Mr. Burt M Lacivita, MS OTR
Occupational Therapist, Hand in West Orange, New Jersey
1659549095- Practice location
- 81 Northfield Ave, Suite 104, West Orange, NJ 07052-5342
- Phone
- 973-325-0229
- Fax
- 973-325-1105
- Last updated
- September 24, 2009
Burt Michael Lacivita is an Occupational Therapist, Hand based in West Orange, NJ. Burt Michael Lacivita practices in West Orange, NJ and has the professional credentials of MS OTR. The NPI Number for Burt Michael Lacivita is 1659549095 and holds a License No. 46TR00395600 (NJ). The current practice location address for Burt Michael Lacivita is 81 Northfield Ave, Suite 104, West Orange, NJ 07052-5342 and can be reached out via phone at 973-325-0229 and via fax at 973-325-1105.
Provider Profile Details
- NPI Number
- 1659549095
- Provider Name
- Burt Michael Lacivita
- Credential
- MS OTR
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 81 Northfield Ave, Suite 104, West Orange, NJ 07052-5342
- Phone Number
- 973-325-0229
- Fax Number
- 973-325-1105
- Primary Taxonomy
- Occupational Therapist, Hand · 225XH1200X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 19, 2008
- Last Update Date
- September 24, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 81 Northfield Ave
Suite 104
West Orange, NJ 07052-5342 - City
- West Orange
- State
- New Jersey
- Zip
- 07052-5342
- Phone Number
- 973-325-0229
- Fax Number
- 973-325-1105
Provider Business Mailing Address Details
- Address
- 141 S Centre St
South Orange, NJ 07079-2609 - City
- South Orange
- State
- NJ
- Zip
- 07079-2609
- Phone Number
- 201-923-7533
License Information
- License Number
- 46TR00395600
- License State
- NJ
- Taxonomy
- Occupational Therapist, Hand · 225XH1200X · 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 Mr. Burt M Lacivita, MS OTR?
The NPI number of Mr. Burt M Lacivita, MS OTR is 1659549095. It was assigned on February 19, 2008 and is currently active in the NPPES registry.
What is the specialty of Mr. Burt M Lacivita, MS OTR?
Mr. Burt M Lacivita, MS OTR is registered under the primary taxonomy Occupational Therapist, Hand (code 225XH1200X), licensed in NJ under license number 46TR00395600.
Where does Mr. Burt M Lacivita, MS OTR practice?
The practice location is 81 Northfield Ave, Suite 104, West Orange, NJ 07052-5342. The office can be reached at 973-325-0229 (phone) or 973-325-1105 (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 1659549095 directly on the NPPES registry website.