Provider Demographics
NPI:1326766106
Name:CELNIK, CHAYA Z
Entity Type:Individual
Prefix:
First Name:CHAYA
Middle Name:Z
Last Name:CELNIK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 COLUMBUS AVE S
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-2995
Mailing Address - Country:US
Mailing Address - Phone:848-238-0127
Mailing Address - Fax:
Practice Address - Street 1:1135 E VETERANS HWY STE 104
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:NJ
Practice Address - Zip Code:08527-5092
Practice Address - Country:US
Practice Address - Phone:732-352-9037
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-18
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR01065600225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics