Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Moshe Nissanian, OTR/L

Individual provider Occupational Therapist · NPI 1619378825

Moshe Nissanian, OTR/L is an Occupational Therapist in Teaneck, New Jersey. Works from 2 locations. Licensed in New Jersey and New York.

Licensed in
NJ, NY
In the registry since
2014
Specialties on file
2
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

1112 N Wilson Ave
Teaneck, NJ 07666-1925
Phone: (917) 751-0010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14440 68th Dr, Flushing, NY 11367-1735 — (917) 751-0010

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 019077 (NY)
Occupational Therapist Taxonomy 225X00000X · Licence 46TR00834900 (NJ)

Record details

NPI number1619378825
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedSeptember 7, 2014
Last updated in NPPESSeptember 30, 2022
Certification dateSeptember 30, 2022

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