Active NPIIndividual providerSole proprietor

Adele Mimnaugh, OTR

Occupational Therapist in Bergenfield, New Jersey

NPI Number1841723665
Practice location
155 S Washington Ave, Bergenfield, NJ 07621-2933
Fax
—
Last updated
April 8, 2017

Adele Mimnaugh is an Occupational Therapist based in Bergenfield, NJ. Adele Mimnaugh practices in Bergenfield, NJ and has the professional credentials of OTR. The NPI Number for Adele Mimnaugh is 1841723665 and holds a License No. 46TR00104000 (NJ). The current practice location address for Adele Mimnaugh is 155 S Washington Ave, Bergenfield, NJ 07621-2933 and can be reached out via phone at 201-374-1213.

Provider Profile Details

NPI Number
1841723665
Provider Name
Adele Mimnaugh
Credential
OTR
Provider Entity Type
Individual
Gender
Female
Address
155 S Washington Ave, Bergenfield, NJ 07621-2933
Phone Number
201-374-1213
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
Yes
Provider Enumeration Date
April 8, 2017
Last Update Date
April 8, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
155 S Washington Ave
Bergenfield, NJ 07621-2933
Zip
07621-2933
Phone Number
201-374-1213
Bergenfield, NJ 07621Get directions →

Provider Business Mailing Address Details

Address
155 S Washington Ave
Bergenfield, NJ 07621-2933
City
Bergenfield
State
NJ
Zip
07621-2933
Phone Number
201-374-1213

License Information

License Number
46TR00104000
License State
NJ
Taxonomy
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 Adele Mimnaugh, OTR?

The NPI number of Adele Mimnaugh, OTR is 1841723665. It was assigned on April 8, 2017 and is currently active in the NPPES registry.

What is the specialty of Adele Mimnaugh, OTR?

Adele Mimnaugh, OTR is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in NJ under license number 46TR00104000.

Where does Adele Mimnaugh, OTR practice?

The practice location is 155 S Washington Ave, Bergenfield, NJ 07621-2933. The office can be reached at 201-374-1213 (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 1841723665 directly on the NPPES registry website.

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