Healthcare Provider Details

I. General information

NPI: 1942110101
Provider Name (Legal Business Name): ROBERT JAMES MILANO OTD, OTR/L
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 FAIRFIELD AVE
WEST CALDWELL NJ
07006-7603
US

IV. Provider business mailing address

106 CAMPUS RD
STATEN ISLAND NY
10301-4425
US

V. Phone/Fax

Practice location:
  • Phone: 973-771-1582
  • Fax:
Mailing address:
  • Phone: 718-619-3758
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number46TR01309300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: