Active NPIIndividual providerSole proprietor

Mrs. Phyllis R Simon, OTR

Occupational Therapist in Emerson, New Jersey

NPI Number1912296930
Practice location
100 Kinderkamack RD, Emerson, NJ 07630-1828
Fax
—
Last updated
March 30, 2011

Phyllis Robin Simon is an Occupational Therapist based in Emerson, NJ. Phyllis Robin Simon practices in Emerson, NJ and has the professional credentials of OTR. The NPI Number for Phyllis Robin Simon is 1912296930 and holds a License No. 46TR00427700 (NJ). The current practice location address for Phyllis Robin Simon is 100 Kinderkamack RD, Emerson, NJ 07630-1828 and can be reached out via phone at 201-265-3700.

Provider Profile Details

NPI Number
1912296930
Provider Name
Phyllis Robin Simon
Credential
OTR
Provider Entity Type
Individual
Gender
Female
Address
100 Kinderkamack RD, Emerson, NJ 07630-1828
Phone Number
201-265-3700
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 30, 2011
Last Update Date
March 30, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Kinderkamack RD
Emerson, NJ 07630-1828
Zip
07630-1828
Phone Number
201-265-3700
Emerson, NJ 07630Get directions →

Provider Business Mailing Address Details

Address
100 Kinderkamack Road
Emerson, NJ 07630
City
Emerson
State
NJ
Zip
07630

License Information

License Number (1)
46TR00427700
License State (1)
NJ
Taxonomy (1)
Occupational Therapist · 225X00000X · Primary
License Number (2)
004752
License State (2)
NY
Taxonomy (2)
Occupational Therapist · 225X00000X

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 Mrs. Phyllis R Simon, OTR?

The NPI number of Mrs. Phyllis R Simon, OTR is 1912296930. It was assigned on March 30, 2011 and is currently active in the NPPES registry.

What is the specialty of Mrs. Phyllis R Simon, OTR?

Mrs. Phyllis R Simon, OTR is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in NJ under license number 46TR00427700.

Where does Mrs. Phyllis R Simon, OTR practice?

The practice location is 100 Kinderkamack RD, Emerson, NJ 07630-1828. The office can be reached at 201-265-3700 (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 1912296930 directly on the NPPES registry website.

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