IndividualActive
Jayne Rock-Gangale, OT
NPI 1104362623 · Community Health Worker · Bloomfield, NJ
Provider details
- NPI number
- 1104362623
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Credential
- OT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 46TR00222200 (NJ)
Specialties & taxonomies
Other Service Providers
Practice location
194 Montgomery St
Bloomfield, NJ 07003-4926
Phone: (973) 495-8409
Fax: (973) 337-5327
Approximate (ZIP-level) locationGet directions
Mailing address
194 Montgomery St
Bloomfield, NJ 07003-4926
Registry dates
- Enumerated
- 2017-01-07
- Last updated
- 2017-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.