MEDICARE: MS. JANELLE EDWINA ALCIME 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	225X00000X	Occupational Therapist	46TR00463900	NJ

General Provider Information

NPI Number	:	1841466935
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JANELLE EDWINA ALCIME OT

Provider Business Mailing Address
First Line	:	9 WEDGEWOOD DR
Second Line	:
City	:	WEST ORANGE
State	:	NJ
Zip	:	07052-2719
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2115 MILLBURN AVE STE 100
Second Line	:
City	:	MAPLEWOOD
State	:	NJ
Zip	:	07040-3724
Country	:	US
Telephone Number	:	347-256-8996
Fax Number	:

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

Provider Enumeration Date	:	05/08/2008
Last Update Date	:	05/12/2026

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