Provider Demographics
NPI:1376417543
Name:PISCIOTTA, SILVIA MARISA
Entity type:Individual
Prefix:
First Name:SILVIA
Middle Name:MARISA
Last Name:PISCIOTTA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 PHILLIPS RD
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07860-5427
Mailing Address - Country:US
Mailing Address - Phone:201-320-4890
Mailing Address - Fax:855-678-8887
Practice Address - Street 1:40 PHILLIPS RD
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:NJ
Practice Address - Zip Code:07860-5427
Practice Address - Country:US
Practice Address - Phone:201-320-4890
Practice Address - Fax:855-678-8887
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-01
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TA09264000224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Single Specialty