Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marybeth Medina

Individual provider Occupational Therapy Assistant · NPI 1528788387

Marybeth Medina is an Occupational Therapy Assistant in Fairview, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2022
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Practice location Address checks out

667 Prospect Ave
Fairview, NJ 07022-2298
Phone: (201) 238-8844
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 46TA09205500 (NJ)

Record details

NPI number1528788387
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 31, 2022
Last updated in NPPESAugust 31, 2022
Certification dateAugust 31, 2022