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

Mr. Randal Stuart Fedoruk, OT

Individual provider Pediatric Occupational Therapist · NPI 1437360575

Mr. Randal Stuart Fedoruk, OT is a Pediatric Occupational Therapist in Newark, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.

Licensed in
NJ
In the registry since
2007
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

65 Bergen St
Newark, NJ 07107-3001
Phone: (973) 972-0186
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence TR4600247500 (NJ)

Record details

NPI number1437360575
Entity typeIndividual (Type 1)
GenderMale
Credentials OT
Sole proprietorNo
NPI enumeratedMay 24, 2007
Last updated in NPPESJuly 8, 2007

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