Taylor Pendergast, | |
622 Eagle Rock Ave, West Orange, NJ 07052-2994 | |
(973) 669-0078 | |
Not Available |
Full Name | Taylor Pendergast |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 622 Eagle Rock Ave, West Orange, 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 |
---|---|---|---|
1710486774 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Provider Name | Rothman Orthopaedics Of New Jersey, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1215978630 PECOS PAC ID: 6709864846 Enrollment ID: O20040713001385 |
Provider Name | Jag-one Physical Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1518017144 PECOS PAC ID: 2769584325 Enrollment ID: O20070228000306 |
Mailing Address | Practice Location Address |
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Taylor Pendergast, 900 Route 9 N Ste 410, Woodbridge, NJ 07095-1003 Ph: (201) 801-7141 | Taylor Pendergast, 622 Eagle Rock Ave, West Orange, NJ 07052-2994 Ph: (973) 669-0078 |
Kevin Mukalel, OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 563 Northfield Ave, West Orange, NJ 07052 Phone: 973-243-2060 | |
Alyssa Marie Attanasio, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1199 Pleasant Valley Way, West Orange, NJ 07052 Phone: 973-414-4755 | |
Rachel Dionna Portee, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1094 Smith Manor Blvd, West Orange, NJ 07052 Phone: 609-845-4776 | |
Julianne Couch, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1199 Pleasant Valley Way, West Orange, NJ 07052 Phone: 973-414-4755 | |
Mary Cabarle, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1199 Pleasant Valley Way, West Orange, NJ 07052 Phone: 973-414-4755 Fax: 973-243-6967 | |
Syndi Lyn Granger, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1199 Pleasant Valley Way, West Orange, NJ 07052 Phone: 973-414-4755 | |
Katherine Mcguire, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1155 Pleasant Valley Way, West Orange, NJ 07052 Phone: 973-731-5100 |