Breanna Ciardullo, OTD is a
Occupational Therapist based in Fair Haven, New Jersey. Breanna Ciardullo is licensed to practice in New Jersey (license number 46TR01209100) and her current practice location is
21 Cedar Ave Ste B1, Fair Haven, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(732) 888-3912.
NPI number for Breanna Ciardullo is 1952299455 and her current mailing address is 154 Madison Ave, Valhalla, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1952299455.
Healthcare Provider's Profile
Full Name | Breanna Ciardullo |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 21 Cedar Ave Ste B1, Fair Haven, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1952299455
- Provider Enumeration Date: 06/25/2025
- Last Update Date: 06/25/2025
Medical Identifiers
Medical identifiers for Breanna Ciardullo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952299455 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 46TR01209100 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Breanna Ciardullo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Breanna Ciardullo, OTD 154 Madison Ave, Valhalla, NY 10595-1833 Ph: (914) 329-9802 | Breanna Ciardullo, OTD 21 Cedar Ave Ste B1, Fair Haven, NJ 07704-3264 Ph: (732) 888-3912 |
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