MEDICARE: MRS. ILDIKO PAULOVITS OT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XH1200X	Hand Occupational Therapist	46TR00125000	NJ
2	225X00000X	Occupational Therapist	46TR00125000	NJ

General Provider Information

NPI Number	:	1013932771
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ILDIKO PAULOVITS OT

Provider Business Mailing Address
First Line	:	1500 PLEASANT VALLEY WAY
Second Line	:	SUITE 102
City	:	WEST ORANGE
State	:	NJ
Zip	:	07052-2956
Country	:	US
Telephone Number	:	973-325-3422
Fax Number	:	973-325-0825

Provider Business Practice Location Address
First Line	:	75 BLOOMFIELD AVE
Second Line	:	SUITE 102
City	:	DENVILLE
State	:	NJ
Zip	:	07834-2735
Country	:	US
Telephone Number	:	973-664-9899
Fax Number	:	973-664-1875

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	05/28/2026

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