Kelly Shimabukuro Llc is a
Occupational Therapist - Pediatrics based in Secaucus, New Jersey. Kelly Shimabukuro Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
164 Franklin St Apt 1, Secaucus, New Jersey. It can be reached at their office (for appointments etc.) via phone at
(862) 200-0300.
NPI number for Kelly Shimabukuro Llc is 1366328486 and their current mailing address is 164 Franklin St Apt 1, Secaucus, New Jersey. Kelly Shimabukuro Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1366328486.
Healthcare Provider's Profile
Full Name | Kelly Shimabukuro Llc |
---|
Type | Facility |
---|
Speciality | Occupational Therapist - Pediatrics |
---|
Location | 164 Franklin St Apt 1, Secaucus, New Jersey |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1366328486
- Provider Enumeration Date: 08/13/2025
- Last Update Date: 08/13/2025
Medical Identifiers
Medical identifiers for Kelly Shimabukuro Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366328486 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | 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. Kelly Shimabukuro Llc 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 |
Kelly Shimabukuro Llc 164 Franklin St Apt 1, Secaucus, NJ 07094-4163 Ph: (862) 200-0300 | Kelly Shimabukuro Llc 164 Franklin St Apt 1, Secaucus, NJ 07094-4163 Ph: (862) 200-0300 |
Reviews and Comments