Healthcare Provider Details

I. General information

NPI: 1396387940
Provider Name (Legal Business Name): ASHLEY OBAYDA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY SIMPSON

II. Dates (important events)

Enumeration Date: 10/16/2019
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

872 E MAIN ST
BRIDGEWATER NJ
08807-3395
US

IV. Provider business mailing address

7 CARNEGIE PLZ
CHERRY HILL NJ
08003-1000
US

V. Phone/Fax

Practice location:
  • Phone: 877-407-3422
  • Fax: 877-407-4329
Mailing address:
  • Phone: 877-407-3422
  • Fax: 877-407-4329

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number46TR00897900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: