Breanna Ciardullo, OTD
Occupational Therapist in Fair Haven, New Jersey
1952299455- Practice location
- 21 Cedar Ave Ste B1, Fair Haven, NJ 07704-3264
- Phone
- 732-888-3912
- Fax
- —
- Last updated
- June 25, 2025
Breanna Ciardullo is an Occupational Therapist based in Fair Haven, NJ. Breanna Ciardullo practices in Fair Haven, NJ and has the professional credentials of OTD. The NPI Number for Breanna Ciardullo is 1952299455 and holds a License No. 46TR01209100 (NJ). The current practice location address for Breanna Ciardullo is 21 Cedar Ave Ste B1, Fair Haven, NJ 07704-3264 and can be reached out via phone at 732-888-3912.
Provider Profile Details
- NPI Number
- 1952299455
- Provider Name
- Breanna Ciardullo
- Credential
- OTD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 21 Cedar Ave Ste B1, Fair Haven, NJ 07704-3264
- Phone Number
- 732-888-3912
- Primary Taxonomy
- Occupational Therapist · 225X00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 25, 2025
- Last Update Date
- June 25, 2025
- Certification Date
- June 25, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 21 Cedar Ave Ste B1
Fair Haven, NJ 07704-3264 - City
- Fair Haven
- State
- New Jersey
- Zip
- 07704-3264
- Phone Number
- 732-888-3912
Provider Business Mailing Address Details
- Address
- 154 Madison Ave
Valhalla, NY 10595-1833 - City
- Valhalla
- State
- NY
- Zip
- 10595-1833
- Phone Number
- 914-329-9802
License Information
- License Number
- 46TR01209100
- 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 Breanna Ciardullo, OTD?
The NPI number of Breanna Ciardullo, OTD is 1952299455. It was assigned on June 25, 2025 and is currently active in the NPPES registry.
What is the specialty of Breanna Ciardullo, OTD?
Breanna Ciardullo, OTD is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in NJ under license number 46TR01209100.
Where does Breanna Ciardullo, OTD practice?
The practice location is 21 Cedar Ave Ste B1, Fair Haven, NJ 07704-3264. The office can be reached at 732-888-3912 (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 1952299455 directly on the NPPES registry website.