Jessette Areola Masanque, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00920900 Issued in NJ

Practice address

2 Deerpark Dr
Monmouth JCT, NJ 08852-1919

Phone

(732) 274-1122

Fax

(732) 274-1991

NPI assigned

Mar 27, 2007

Last updated

Jul 8, 2007By 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)

Not enrolled

State licenses

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245358092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 ROCK RUN RD",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085203048",
            "telephone_number": "908-208-7456",
            "fax_number": "609-301-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 DEERPARK DR",
            "city": "MONMOUTH JCT",
            "state": "NJ",
            "postal_code": "088521919",
            "telephone_number": "732-274-1122",
            "fax_number": "732-274-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASANQUE",
        "first_name": "JESSETTE",
        "middle_name": "AREOLA",
        "name_prefix": "Mrs.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00920900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary F Dashiell, LCSW
• Medha Gupta
• Kids Smile, PC
• Rani A Kolli, DDS
• Lisa D Marquette, PH.D.
• Rubina Motwani
• Jimil Parikh, RPH
• David Shapiro, O.T.
• Archana Reddy Sripathi, RPH

• Physical Therapist in Monmouth JCT, NJ
• Providers in Monmouth JCT, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.