Charles Elmendorf
Occupational Therapist in Wall, New Jersey
1881226181- Practice location
- 1825 Nj-35, Wall, NJ 07719
- Phone
- 732-832-7527
- Fax
- —
- Last updated
- February 5, 2020
Charles Elmendorf is an Occupational Therapist based in Wall, NJ. Charles Elmendorf practices in Wall, NJ. The NPI Number for Charles Elmendorf is 1881226181 and holds a License No. 46TR00851900 (NJ). The current practice location address for Charles Elmendorf is 1825 Nj-35, Wall, NJ 07719 and can be reached out via phone at 732-832-7527.
Provider Profile Details
- NPI Number
- 1881226181
- Provider Name
- Charles Elmendorf
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1825 Nj-35, Wall, NJ 07719
- Phone Number
- 732-832-7527
- Primary Taxonomy
- Occupational Therapist · 225X00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 5, 2020
- Last Update Date
- February 5, 2020
- Certification Date
- February 5, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1825 Nj-35
Wall, NJ 07719 - City
- Wall
- State
- New Jersey
- Zip
- 07719
- Phone Number
- 732-832-7527
Provider Business Mailing Address Details
- Address
- 65 Mulberry St
Medford, NJ 08055-2618 - City
- Medford
- State
- NJ
- Zip
- 08055-2618
- Phone Number
- 609-410-1842
License Information
- License Number
- 46TR00851900
- License State
- NJ
- Taxonomy
- Occupational Therapist · 225X00000X · 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 Charles Elmendorf?
The NPI number of Charles Elmendorf is 1881226181. It was assigned on February 5, 2020 and is currently active in the NPPES registry.
What is the specialty of Charles Elmendorf?
Charles Elmendorf is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in NJ under license number 46TR00851900.
Where does Charles Elmendorf practice?
The practice location is 1825 Nj-35, Wall, NJ 07719. The office can be reached at 732-832-7527 (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 1881226181 directly on the NPPES registry website.