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

Peter S Boustani, OT

Individual provider Occupational Therapist · NPI 1912754003

Peter S Boustani, OT is an Occupational Therapist in Private Practice in Midland Park, New Jersey. Qualified in 2023, 3 years ago. Practices with Medwell LLC, an 11-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
3
Licensed in
NJ
In the registry since
2024
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

33 Central Ave
Midland Park, NJ 07432-1401
Phone: (201) 819-1081
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 46TR01173300 (NJ)

Record details

NPI number1912754003
Entity typeIndividual (Type 1)
GenderMale
Credentials OT
Sole proprietorNo
NPI enumeratedMay 6, 2024
Last updated in NPPESMay 6, 2024
Certification dateMay 6, 2024
Mailing address33 Central Ave, Midland Park, NJ 07432-1401

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Medwell Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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