EDWIN RAFAEL FERNANDEZ GRULLON (NPI# 1912469321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912469321 |
| Entity Type | Individual |
| Full Name | EDWIN RAFAEL FERNANDEZ GRULLON |
| Practice Address |
47 Bayside Dr Bayonne NJ 07002-1278 |
| Practice Telephone | 2392986665 |
| Mailing Telephone | 2392986665 |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2019-04-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 46TA09163500 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
47 BAYSIDE DR |
| City | BAYONNE |
| State | NJ |
| Zip Code | 07002-1278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205436029 | Nimitha Kumar | Dentist | 1216 John F Kennedy Blvd W, 2nd Floor, Bayonne, NJ 07002 | 2020-10-30 |
| 1972114437 | New Jersery Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 18-40 Goldsborough Drive, Bayonne, NJ 07002 | 2020-08-10 |
| 1134740707 | Paulanto Dental Clinic Corp | Clinic/Center | 189-195 Ave E, Bayonne, NJ 07002 | 2020-05-05 |
| 1093377152 | Moneeb Arshad Chohan | General Practice | 9 E 29th St, Bayonne, Bayonne, NJ 07002 | 2019-06-28 |
| 1477113835 | Jay Hwang | Dentist | 1160 John F. Kennedy Blvd, Suite B, Bayonne, NJ 07002 | 2019-06-18 |
| 1740845932 | Sara Shi | Student in an Organized Health Care Education/Training Program | Bayonne Medical Center, 29 E 29th St, Bayonne, NJ 07002 | 2019-05-03 |
| 1376003855 | S.akhtar.md.llc | Internal Medicine | 16 East 29th St, Bayonne, NJ 07002 | 2019-03-21 |
| 1144799701 | Perfect Home Care | Home Health | 473 Broadway Suite 402, Bayonne, NJ 07002 | 2018-11-13 |
| 1881174688 | Windmill Alliance Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 184 186 Hobart Avenue, Apartment #2, Bayonne, NJ 07002 | 2018-08-21 |
| 1437642774 | Agape Chen | Student in an Organized Health Care Education/Training Program | 29th Street & Avenue E, Bayonne, NJ 07002 | 2018-06-12 |
| Find all providers in zip 07002 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134660939 | Mariam Ibrahim | Occupational Therapy Assistant | 525 Avenue C, Bayonne, NJ 07002-3750 | 2017-03-13 |
| 1962681973 | Paolo J De Leon | Occupational Therapy Assistant | 93 W 14th St Fl 1, Bayonne, NJ 07002-1317 | 2007-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609890 | Lauren Risho | Occupational Therapy Assistant | 35 Glaser Ave, Raritan, NJ 08869-2115 | 2020-11-05 |
| 1215536859 | Stephanie A Schmitt | Occupational Therapy Assistant | 31 W Mary Ln, Waterford Works, NJ 08089-2401 | 2020-10-24 |
| 1326647462 | Mayra F Gomez | Occupational Therapy Assistant | 612 72nd St Apt 2, North Bergen, NJ 07047-5471 | 2020-10-20 |
| 1336746619 | Gregg Hecht-cosloy | Occupational Therapy Assistant | 1903 Royal Oaks Dr, Toms River, NJ 08753-6306 | 2020-10-08 |
| 1073120903 | Hajar Elharroufy | Occupational Therapy Assistant | 1301 Rispoli Dr, Old Bridge, NJ 08857-3436 | 2020-09-24 |
| 1699380238 | Tatya Altunyan | Occupational Therapy Assistant | 16 Peach Hill Ct, Ramsey, NJ 07446-1200 | 2020-09-10 |
| 1982217477 | Farahzebin Chowdhury | Occupational Therapy Assistant | 68 Dixon Ave, Paterson, NJ 07501-2522 | 2020-08-25 |
| 1013527894 | Millie S Mogouong | Occupational Therapy Assistant | 28 Richards St Apt 3, Newark, NJ 07105-3705 | 2020-08-05 |
| 1730797259 | Jersey Shore Home Rehabilitation LLC | Occupational Therapy Assistant | 7 Kentucky Rd, Egg Harbor Township, NJ 08234-8025 | 2020-07-21 |
| 1609494475 | Jheyson Guido Danlasky | Occupational Therapy Assistant | 421 Park Pl Apt 5j, Fort Lee, NJ 07024-3759 | 2020-07-08 |
| Find all providers with the same taxonomy | ||||
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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.