MEDICARE: CYNTHIA J SHECHTER OT PA

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	174400000X	Specialist	012054	NY
2	174400000X	Specialist	46TR00418200	NJ
3	174400000X	Specialist	TR00418200	NJ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	83-3284555	OTHER	NJ	ALL PRIVATE INSURERS AND MEDICARE

General Provider Information

NPI Number	:	1265634828
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA J SHECHTER OT PA

Provider Business Mailing Address
First Line	:	70 KINDERKAMACK RD STE 103
Second Line	:
City	:	EMERSON
State	:	NJ
Zip	:	07630-1812
Country	:	US
Telephone Number	:	201-267-6267
Fax Number	:	201-267-0212

Provider Business Practice Location Address
First Line	:	70 KINDERKAMACK ROAD
Second Line	:	SUITE 103
City	:	EMERSON
State	:	NJ
Zip	:	07630-1883
Country	:	US
Telephone Number	:	201-267-6267
Fax Number	:

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

Provider Enumeration Date	:	06/04/2007
Last Update Date	:	04/10/2026

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