Provider Demographics
NPI:1902008808
Name:TOTH, JUDITH ANN (MS, OTRL, CHT)
Entity Type:Individual
Prefix:MRS
First Name:JUDITH
Middle Name:ANN
Last Name:TOTH
Suffix:
Gender:F
Credentials:MS, OTRL, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 RED MAPLE DR
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08724-2088
Mailing Address - Country:US
Mailing Address - Phone:732-625-7700
Mailing Address - Fax:732-625-7721
Practice Address - Street 1:98 CRAIG ROAD
Practice Address - Street 2:107
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-8787
Practice Address - Country:US
Practice Address - Phone:732-625-7700
Practice Address - Fax:732-625-7721
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-03
Last Update Date:2010-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJTR001574225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ074531Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
5242460001Medicare NSC