Healthcare Provider Details

I. General information

NPI: 1932718905
Provider Name (Legal Business Name): FEIGA C. MENDELL OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2020
Last Update Date: 07/16/2023
Certification Date: 07/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1025 DEAL RD
OCEAN NJ
07712-2503
US

IV. Provider business mailing address

7 FLORIDA PL
JACKSON NJ
08527-1815
US

V. Phone/Fax

Practice location:
  • Phone: 732-460-1700
  • Fax:
Mailing address:
  • Phone: 732-364-4536
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number024831
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number46TR00907900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: