Active NPIIndividual provider

Maura K Iacobucci, OTR/L

Occupational Therapist, Pediatrics in Hoboken, New Jersey

NPI Number1871039677
Practice location
111 Washington St Fl 2, Hoboken, NJ 07030-7796
Fax
—
Last updated
January 10, 2023

Maura Kathryn Iacobucci is an Occupational Therapist, Pediatrics based in Hoboken, NJ. Maura Kathryn Iacobucci practices in Hoboken, NJ and has the professional credentials of OTR/L. The NPI Number for Maura Kathryn Iacobucci is 1871039677 and holds a License No. 025011 (NY). The current practice location address for Maura Kathryn Iacobucci is 111 Washington St Fl 2, Hoboken, NJ 07030-7796 and can be reached out via phone at 201-808-2245.

Provider Profile Details

NPI Number
1871039677
Provider Name
Maura Kathryn Iacobucci
Credential
OTR/L
Provider Entity Type
Individual
Gender
Female
Address
111 Washington St Fl 2, Hoboken, NJ 07030-7796
Phone Number
201-808-2245
Primary Taxonomy
Occupational Therapist, Pediatrics · 225XP0200X
Sole Proprietor
No
Provider Enumeration Date
January 17, 2017
Last Update Date
January 10, 2023
Certification Date
January 10, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 Washington St Fl 2
Hoboken, NJ 07030-7796
Zip
07030-7796
Phone Number
201-808-2245
Hoboken, NJ 07030Get directions →

Provider Business Mailing Address Details

Address
18 N Catherine Ave
La Grange, IL 60525-5930
City
La Grange
State
IL
Zip
60525-5930
Phone Number
708-482-9453
Fax Number
708-482-9454

License Information

License Number (1)
025011
License State (1)
NY
Taxonomy (1)
Occupational Therapist · 225X00000X
License Number (2)
46TR00945900
License State (2)
NJ
Taxonomy (2)
Occupational Therapist · 225X00000X
License Number (3)
056011801
License State (3)
IL
Taxonomy (3)
Occupational Therapist · 225X00000X
License Number (4)
056011801
License State (4)
IL
Taxonomy (4)
Occupational Therapist, Pediatrics · 225XP0200X · 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 Maura K Iacobucci, OTR/L?

The NPI number of Maura K Iacobucci, OTR/L is 1871039677. It was assigned on January 17, 2017 and is currently active in the NPPES registry.

What is the specialty of Maura K Iacobucci, OTR/L?

Maura K Iacobucci, OTR/L is registered under the primary taxonomy Occupational Therapist, Pediatrics (code 225XP0200X), licensed in NY under license number 025011.

Where does Maura K Iacobucci, OTR/L practice?

The practice location is 111 Washington St Fl 2, Hoboken, NJ 07030-7796. The office can be reached at 201-808-2245 (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 1871039677 directly on the NPPES registry website.

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