Jessica Elaine Marinace, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

018471 Issued in NY

Practice address

167 Route 304 Ste 108
Bardonia, NY 10954-2050

Phone

(845) 337-6905

NPI assigned

Nov 20, 2017

Last updated

Nov 20, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Genesis Medical Health PC

  • General Practice Physician
  • Spring Valley, NY
  • NPI 1295043099

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511136000000",
    "number": "1093229528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 MARTIN RD",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125335518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 ROUTE 304 STE 108",
            "city": "BARDONIA",
            "state": "NY",
            "postal_code": "109542050",
            "telephone_number": "845-337-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINACE",
        "first_name": "JESSICA",
        "middle_name": "ELAINE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-20",
        "last_updated": "2017-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "018471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Seunguk Kim, L.AC.
• Paul Michael Lentini, D.C.
• Adam Lerche
• Kristen Taylor Loretoni, LCSW
• Farhana Rahman Mahmud
• Karen McMahon
• Medwiz Solutions LLC
• Medwiz Solutions LLC
• Medwiz Solutions, LLC
• Medwiz Specialty, LLC

• Occupational Therapist in Bardonia, NY
• Providers in Bardonia, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; 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.