Healthcare Provider Details

I. General information

NPI: 1144358227
Provider Name (Legal Business Name): ANGELA MARIE BEATINI OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2007
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 MARKET ST
SADDLE BROOK NJ
07663-5309
US

IV. Provider business mailing address

241 KEARNY AVE APT. 6
KEARNY NJ
07032-2525
US

V. Phone/Fax

Practice location:
  • Phone: 201-368-6117
  • Fax:
Mailing address:
  • Phone: 201-390-1536
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XN1300X
TaxonomyNeurorehabilitation Occupational Therapist
License Number46TR00386200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: