Mrs Phyllis Robin Simon, OTR | |
100 Kinderkamack Rd, Emerson, NJ 07630-1828 | |
(201) 265-3700 | |
Not Available |
Full Name | Mrs Phyllis Robin Simon |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 100 Kinderkamack Rd, Emerson, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912296930 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 46TR00427700 (New Jersey) | Primary |
225X00000X | Occupational Therapist | 004752 (New York) | Secondary |
Provider Name | Healthpro Heritage Rehab & Fitness Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1689022295 PECOS PAC ID: 6507832573 Enrollment ID: O20160919002691 |
Mailing Address | Practice Location Address |
---|---|
Mrs Phyllis Robin Simon, OTR 100 Kinderkamack Road, Emerson, NJ 07630 Ph: () - | Mrs Phyllis Robin Simon, OTR 100 Kinderkamack Rd, Emerson, NJ 07630-1828 Ph: (201) 265-3700 |
Ms. Christine Louise Smith, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 70 Kinderkamack Rd Ste 103, Emerson, NJ 07630 Phone: 201-267-6267 | |
Devon Kaminski, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 440 Old Hook Rd, Emerson, NJ 07630 Phone: 201-497-6752 | |
Anat Spiero, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 440 Old Hook Rd, Emerson, NJ 07630 Phone: 201-497-6752 Fax: 201-497-6756 | |
Kristin L Anderson, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 440 Old Hook Rd, Emerson, NJ 07630 Phone: 201-497-6752 | |
Brittany Del Duca, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 440 Old Hook Rd, Emerson, NJ 07630 Phone: 201-497-6752 Fax: 201-497-6756 | |
Ms. Ashley M. Caprio, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Kinderkamack Rd, Emerson, NJ 07630 Phone: 201-265-3700 |