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

Mr. Kenneth Fernandez

Individual provider Occupational Therapy Assistant · NPI 1063877207

Mr. Kenneth Fernandez is an Occupational Therapy Assistant in Lincoln Park, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2015
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Practice location Address checks out

209 Comly Rd M13
Lincoln Park, NJ 07035 Not confirmed with CMS for 10 years — call before visiting
Phone: (973) 572-2940
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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 46TA09114900 (NJ)

Record details

NPI number1063877207
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 15, 2015
Last updated in NPPESDecember 15, 2015

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