MS. LYDIA SPEVACK (NPI# 1770995250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770995250 |
| Entity Type | Individual |
| Full Name | MS. LYDIA SPEVACK |
| Practice Address |
536 Ridge Rd Cedar Grove NJ 07009-1611 |
| Mailing Address |
120 Cleveland Ave Long Beach NY 11561-3811 |
| Practice Telephone | 9732399300 |
| Mailing Telephone | 5612121063 |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2014-06-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OTA46TA09084800 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
536 RIDGE RD |
| City | CEDAR GROVE |
| State | NJ |
| Zip Code | 07009-1611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285672600 | Dale Ambrogio | Physical Therapist | 536 Ridge Rd, Waterview Center, Cedar Grove, NJ 07009-1611 | 2006-06-04 |
| 1093329401 | Kelsey M Aloia | Student in an Organized Health Care Education/Training Program | 536 Ridge Rd, Cedar Grove, NJ 07009-1611 | 2020-09-02 |
| 1740693290 | Leonardo Vega | Physical Therapy Assistant | 536 Ridge Rd, Cedar Grove, NJ 07009-1611 | 2014-06-03 |
| 1386056885 | Sonya Mckinney | Skilled Nursing Facility | 536 Ridge Rd, Cedar Grove, NJ 07009-1611 | 2014-06-02 |
| 1043621907 | Rebecca Ernst | Occupational Therapist | 536 Ridge Rd, Cedar Grove, NJ 07009-1611 | 2014-05-14 |
| 1629495577 | Lydia Grace Bazikian | Speech-Language Pathologist | 536 Ridge Rd, Cedar Grove, NJ 07009-1611 | 2014-03-27 |
| 1356785216 | John Paul Margarejo Rogando | Physical Therapist | 536 Ridge Rd, Cedar Grove, NJ 07009-1611 | 2013-04-23 |
| 1558613364 | Meredith Force Cozzarelli | Speech-Language Pathologist | 536 Ridge Rd, Cedar Grove, NJ 07009-1611 | 2012-10-04 |
| 1235484783 | Maria M Anaya Pantoja | Occupational Therapist | 536 Ridge Rd, Cedar Grove, NJ 07009-1611 | 2012-07-20 |
| 1336432178 | Manesh Paul | Skilled Nursing Facility | 536 Ridge Rd, Cedar Grove, NJ 07009-1611 | 2011-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770129975 | Essex Regional Educational Services Commission | Day Training/Habilitation Specialist | 520 Pompton Avenue, Attn: Amy Woods, Cedar Grove, NJ 07009 | 2019-11-22 |
| 1861933285 | Kenael Segal | Physical Therapist | 6 Pompton Ave Ste 12, Cedar Grove, NJ 07009 | 2017-03-17 |
| 1477940906 | Laureen Pinal | Family Medicine | 480 Pompton Ave, Cedar Grove, NJ 07009 | 2015-04-22 |
| 1942515259 | Karin I Johnson | Acupuncturist | 96 Bowden Rd, Cedar Grove, NJ 07009 | 2010-08-11 |
| 1437309663 | Michael Jay Shoobs | Dentist | 433 Pompton Avenue, Cedar Grove, NJ 07009 | 2008-09-24 |
| 1821297953 | Alicia Seid | Speech-Language Pathologist | 389 Pompton Avenue, Cedar Grove, NJ 07009 | 2007-07-18 |
| 1891994166 | Lorraine Chorazy | Acupuncturist | 96 Bowdan Rd, Cedar Grove, NJ 07009 | 2007-07-16 |
| 1447472063 | Jessica L. Blum | Physical Therapist | 25 East Lindsley Road, Cedar Grove, NJ 07009 | 2007-05-03 |
| 1588782718 | Annie Elizabeth Klinger | Physical Therapist | Pompton Ave. & East Lindsley Rd., Cedar Grove, NJ 07009 | 2007-03-26 |
| 1053458018 | Dennis L. Aponte | Internal Medicine | 225 60th St, West New York, NJ 07009 | 2007-01-31 |
| Find all providers in zip 07009 | ||||
| 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 |
|---|---|---|---|---|
| 1740775881 | Tara Cervano | Occupational Therapy Assistant | 408 Pompton Ave, Cedar Grove, NJ 07009-1813 | 2018-06-29 |
| 1881106334 | Kassandra Elena Monge | Occupational Therapy Assistant | 408 Pompton Ave, Cedar Grove, NJ 07009-1813 | 2017-10-24 |
| 1396256434 | Eric William May | Occupational Therapy Assistant | 132 N Main St, Cedar Grove, WI 53013-1312 | 2017-10-16 |
| 1912390576 | Monalissa Antoine | Occupational Therapy Assistant | 398 Pompton Ave, Cedar Grove, NJ 07009 | 2015-03-06 |
| 1558754119 | Jeanice Pelaez | Occupational Therapy Assistant | 398 Pompton Ave, Cedar Grove, NJ 07009 | 2015-03-06 |
| 1770853913 | Gelania Yvonne Eaddy | Occupational Therapy Assistant | 25 E Lindsley Rd, Cedar Grove, NJ 07009-1023 | 2012-01-05 |
| 1467628206 | Katherine Velardi | Occupational Therapy Assistant | 25 E Lindsley Rd, Cedar Grove, NJ 07009-1023 | 2008-05-01 |
| 1184743114 | Colette Dawn Gandolfo | Occupational Therapy Assistant | 536 Ridge Rd, Cedar Grove, NJ 07009 | 2007-03-29 |
| 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 | ||||
| City | CEDAR GROVE |
| Zip Code | 07009 |
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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.