Healthcare Provider Details

I. General information

NPI: 1538017157
Provider Name (Legal Business Name): RYAN TOPPI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2026
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3349 HWY 138 STE A
WALL TOWNSHIP NJ
07719-9671
US

IV. Provider business mailing address

18 KATHERINE CT
GLASSBORO NJ
08028-2826
US

V. Phone/Fax

Practice location:
  • Phone: 732-280-6050
  • Fax:
Mailing address:
  • Phone: 856-889-8256
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number46TR01287300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: