MRS. ANGELA MARIE FENNELLY (NPI# 1144358227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144358227 |
| Entity Type | Individual |
| Full Name | MRS. ANGELA MARIE FENNELLY |
| Credential | OTR |
| Practice Address |
300 Market St Saddle Brook NJ 07663-5309 |
| Mailing Address |
241 Kearny Ave Apt. 6 Kearny NJ 07032-2525 |
| Practice Telephone | 2013686117 |
| Mailing Telephone | 2013901536 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XN1300X |
Occupational Therapist Specialization: Neurorehabilitation |
46TR00386200 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | OCCUPATIONAL THERAPIST | 46TR00386200 | 01 |
| Street Address |
300 MARKET ST |
| City | SADDLE BROOK |
| State | NJ |
| Zip Code | 07663-5309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700874898 | Raida Dovlatyan | Physical Medicine & Rehabilitation | 300 Market St, Saddle Brook, NJ 07663-5309 | 2005-10-12 |
| 1831798396 | Brittany Lynn Hoehlein | Physical Therapist | 300 Market St, Saddle Brook, NJ 07663-5309 | 2020-10-25 |
| 1497385173 | Mei Knothe | Occupational Therapist | 300 Market St, Saddle Brook, NJ 07663-5318 | 2020-01-22 |
| 1255987541 | Deena Berkowitz | Occupational Therapist | 300 Market St, Saddle Brook, NJ 07663-5318 | 2019-08-13 |
| 1104479344 | Jamie Graziano | Psychologist | 300 Market St, Saddle Brook, NJ 07663-5309 | 2019-07-17 |
| 1477019339 | Stephanie Ariano | Physical Therapist | 300 Market St, Saddle Brook, NJ 07663-5309 | 2019-02-15 |
| 1205390440 | Eileen Yorke | Occupational Therapist | 300 Market St, Saddle Brook, NJ 07663-5309 | 2019-01-22 |
| 1982177234 | Sandra Kewcharoen | Occupational Therapist | 300 Market St, Saddle Brook, NJ 07663-5309 | 2019-01-09 |
| 1134695802 | Adam Popowitz | Physical Therapist | 300 Market St, Saddle Brook, NJ 07663-5309 | 2018-10-19 |
| 1508353194 | Devki Patel | Occupational Therapist | 300 Market St, Saddle Brook, NJ 07663-5309 | 2018-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982120606 | Alexander Rumaczyk | Chiropractor | 299 Market Street, Suite 140, Saddle Brook, NJ 07663 | 2017-08-15 |
| 1134676612 | Pietra Valentina Leone | Physical Therapist | 5 Dyer Pl, Saddle Brook, NJ 07663 | 2016-09-01 |
| 1609249630 | Caringhouse Projects, Inc | Respite Care | 515 Dewey Avenue, Saddlebrook, NJ 07663 | 2015-11-13 |
| 1477942506 | Thimmel Chiropractic, LLC | Physical Therapist | 380 N. Midland Avenue, Saddle Brook, NJ 07663 | 2015-01-13 |
| 1609211275 | Krysbelle Alconis | Registered Nurse | 206 Wilson Street, Saddle Brook, NJ 07663 | 2013-05-08 |
| 1750685582 | Senior Citizen Aged & Disabled Alliance | Local Education Agency (LEA) | Ten Sampson Street, Unit 110, Saddle Brook, NJ 07663 | 2011-01-10 |
| 1164757274 | Martos Chiropractic Health Center, LLC | Chiropractor | 150 N. Midland Ave, Saddle Brook, NJ 07663 | 2009-10-07 |
| 1609095314 | Interim Healthcare of Saddle Brook, Inc. | Home Health | 15 5th Street, Saddle Brook, NJ 07663 | 2007-04-24 |
| 1336232065 | John R. Mully D.m.d., P.a. | Dentist | 337 Market Street, Saddle Brook, NJ 07663 | 2006-10-02 |
| 1952493967 | Batul S Ladak | Pediatrics | 50 Market Street, Second Floor, Saddle Brook, NJ 07663 | 2006-09-28 |
| Find all providers in zip 07663 | ||||
| Taxonomy Code | 225XN1300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Neurorehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215354931 | Gretchen E March | Occupational Therapist | 300 Market St, Kessler Institute for Rehabilitation, Saddle Brook, NJ 07663-5309 | 2014-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467067793 | Karen Wauters | Occupational Therapist | 22 Twombly Dr, Summit, NJ 07901-3027 | 2020-09-14 |
| 1265063812 | Dawn Marie Nilsen | Occupational Therapist | 1074 Radio Rd, Little Egg Harbor Twp, NJ 08087-1517 | 2020-02-03 |
| 1619443199 | Colleen Cooper | Occupational Therapist | 194 Highway 31 Ste 103a, Flemington, NJ 08822-5793 | 2018-10-22 |
| 1790207256 | Lauren Vesper | Occupational Therapist | 6 Broken Arrow Rd, Warren, NJ 07059-6702 | 2017-07-16 |
| 1417499203 | Melissa Lee Delatorre | Occupational Therapist | 644 Lincoln Blvd, Westwood, NJ 07675-3431 | 2016-11-09 |
| 1558751388 | Regina Ardizone | Occupational Therapist | 272 Prospect Ave, Park Ridge, NJ 07656-2515 | 2015-02-02 |
| 1932525649 | Rena Kaplan | Occupational Therapist | 1 Raven Ln, Lakewood, NJ 08701-4968 | 2014-03-06 |
| 1245674688 | Jodie Dashore | Occupational Therapist | 11 Burlington Dr, Marlboro, NJ 07746-2609 | 2013-04-27 |
| 1205186665 | Randy F Marti | Occupational Therapist | 15 Microlab Rd, Suite 101, Livingston, NJ 07039-1623 | 2012-09-13 |
| 1285876128 | Phyllis Lynn Gordon | Occupational Therapist | 10 Byrne Ln, Tenafly, NJ 07670-2707 | 2009-03-24 |
| Find all providers with the same taxonomy | ||||
| City | SADDLE BROOK |
| Zip Code | 07663 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.