MICHELE ALTOMARE — NPI 1356692180 (Licensed & Credentialed Developmental Therapist in FORKED RIVER, NJ)

CMS-1500 Box 24J / 33a • NPI

1356692180

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

222Q00000X

Licensed & Credentialed Developmental Therapist

Box 32 Service Location & ZIP+4

615 LACEY RD, SUITE 3, FORKED RIVER, NJ, 08731-2200

✓ 9-Digit EDI 837 ZIP+4 (08731-2200)

Practice Phone & Referral Fax

(609) 242-3322

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1356692180 (MICHELE ALTOMARE) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1356692180` (NPI-1 Individual Practitioner)
Provider / Legal Name	MICHELE ALTOMARE
Plain-English Specialty	Licensed & Credentialed Developmental Therapist NUCC Code: `222Q00000X` (Developmental Therapist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	615 LACEY RD, SUITE 3, FORKED RIVER, NJ, 08731-2200
Practice Telephone / Fax	Tel: (609) 242-3322
Administrative Mailing Address	3 BONNIE DR, EGG HARBOR TOWNSHIP, NJ, 08234-7407
Enumeration & Last Sync	Enumerated: 2012-09-19 \| CMS Record Updated: 2014-12-19

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

615 LACEY RD, SUITE 3, FORKED RIVER, NJ, 08731-2200

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Plain-English Taxonomy & CMS Crosswalk (222Q00000X)

What Does Taxonomy Code 222Q00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 222Q00000X translates to:
"Licensed & Credentialed Developmental Therapist"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Developmental Therapist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MICHELE ALTOMARE)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`101YM0800X` — Counselor, Mental Health Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor	State: N/A \| License: `Verified` \| Primary: Secondary
`222Q00000X` — Developmental Therapist Plain English: Licensed & Credentialed Developmental Therapist	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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MICHELE ALTOMARE (NPI #1356692180)