Mrs Desiree Kopil Gannon, OTR/L - Occupational Therapist in Edison, NJ

Mrs Desiree Kopil Gannon, OTR/L is a Occupational Therapist - Pediatrics based in Edison, New Jersey. Mrs Desiree Kopil Gannon is licensed to practice in New York (license number 008498-1) and her current practice location is 131 Safran Ave, Edison, New Jersey. She can be reached at her office (for appointments etc.) via phone at (732) 742-3749.

NPI number for Mrs Desiree Kopil Gannon is 1508006883 and her current mailing address is 131 Safran Ave, Edison, New Jersey. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508006883.

Contact Information

Mrs Desiree Kopil Gannon, OTR/L
131 Safran Ave,
Edison, NJ 08837-3205
(732) 742-3749
(732) 709-3388

Map and Direction




Healthcare Provider's Profile

Full NameMrs Desiree Kopil Gannon
GenderFemale
SpecialityOccupational Therapist - Pediatrics
Location131 Safran Ave, Edison, New Jersey
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1508006883
  • Provider Enumeration Date: 02/26/2009
  • Last Update Date: 03/28/2012

Medical Identifiers

Medical identifiers for Mrs Desiree Kopil Gannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508006883NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225XP0200XOccupational Therapist - Pediatrics 008498-1 (New York)Primary
225XP0200XOccupational Therapist - Pediatrics 46TR00098800 (New Jersey)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Desiree Kopil Gannon is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Desiree Kopil Gannon, OTR/L
131 Safran Ave,
Edison, NJ 08837-3205

Ph: (732) 742-3749
Mrs Desiree Kopil Gannon, OTR/L
131 Safran Ave,
Edison, NJ 08837-3205

Ph: (732) 742-3749

Reviews and Comments


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