Individual provider Active NPI

Jenelle Amberly Dorotta Kotry

  • Speech-Language Pathologist
  • Denville, NJ
National Provider Identifier
1083588875
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS01369100 Issued in NJ
Practice address
3155 State Route 10 Ste 8
Denville, NJ 07834-3492
Phone
(856) 519-5780
NPI assigned
Oct 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 41YS01369100 NJ Primary

Addresses

Primary practice location

3155 State Route 10 Ste 8
Denville, NJ 07834-3492

Mailing address

3155 State Route 10 Ste 8
Denville, NJ 07834-3492
Phone (856) 519-5780

Other names 1

  • Jenelle Dorotta Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
41YS01369100NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Network Inc. Speech-Language Pathologist PastSince Oct 5, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1759449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1083588875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 STATE ROUTE 10 STE 8",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078343492",
            "telephone_number": "856-519-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 STATE ROUTE 10 STE 8",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078343492",
            "telephone_number": "856-519-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOROTTA KOTRY",
        "first_name": "JENELLE",
        "middle_name": "AMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-03",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS01369100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENELLE",
            "last_name": "DOROTTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.