Active NPIIndividual provider

Mrs. Martha V Jackman-Bivas, OT

Occupational Therapist in Montclair, New Jersey

NPI Number1992996995
Practice location
111-115 Gates Ave, Montclair, NJ 07042-2500
Fax
—
Last updated
August 5, 2007

Martha Vanessa Jackman-Bivas is an Occupational Therapist based in Montclair, NJ. Martha Vanessa Jackman-Bivas practices in Montclair, NJ and has the professional credentials of OT. The NPI Number for Martha Vanessa Jackman-Bivas is 1992996995 and holds a License No. 46tr00291700 (NJ). The current practice location address for Martha Vanessa Jackman-Bivas is 111-115 Gates Ave, Montclair, NJ 07042-2500 and can be reached out via phone at 973-746-4616.

Provider Profile Details

NPI Number
1992996995
Provider Name
Martha Vanessa Jackman-Bivas
Credential
OT
Provider Entity Type
Individual
Gender
Female
Address
111-115 Gates Ave, Montclair, NJ 07042-2500
Phone Number
973-746-4616
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
No
Provider Enumeration Date
August 5, 2007
Last Update Date
August 5, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
111-115 Gates Ave
Montclair, NJ 07042-2500
Zip
07042-2500
Phone Number
973-746-4616
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
8 Charles St
1
Montclair, NJ 07042-2406
City
Montclair
State
NJ
Zip
07042-2406
Phone Number
800-530-3247

License Information

License Number
46tr00291700
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 Mrs. Martha V Jackman-Bivas, OT?

The NPI number of Mrs. Martha V Jackman-Bivas, OT is 1992996995. It was assigned on August 5, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Martha V Jackman-Bivas, OT?

Mrs. Martha V Jackman-Bivas, OT is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in NJ under license number 46tr00291700.

Where does Mrs. Martha V Jackman-Bivas, OT practice?

The practice location is 111-115 Gates Ave, Montclair, NJ 07042-2500. The office can be reached at 973-746-4616 (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 1992996995 directly on the NPPES registry website.

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