Healthcare Provider Details

I. General information

NPI: 1912835489
Provider Name (Legal Business Name): BENNET STRAUSS OTR/L
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BELMONT RUYON WAY
NEWARK NJ
07108-2243
US

IV. Provider business mailing address

6 HOUSEL CIR UNIT 210
HILLSBOROUGH NJ
08844-1569
US

V. Phone/Fax

Practice location:
  • Phone: 360-705-4527
  • Fax:
Mailing address:
  • Phone: 360-705-4527
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number46TR00996200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: