Jessica Kiernan

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR01128800 Issued in NJ

Practice address

5 Boxwood Way
Warren, NJ 07059-6859

Phone

(908) 801-6425

NPI assigned

Jun 14, 2023

Sex

Female

Sole proprietor

No

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

Enrolled in NJ

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Synaptic Rehabilitation LLCGroup PAC ID 3971835968, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Synaptic Rehabilitation, LLC

  • Physical Therapist
  • Warren, NJ
  • NPI 1518514397
  Medicare reassignment Care Compare group NPD
• Synaptic Rehab Bridgewater

  • Physical Therapist
  • Bridgewater, NJ
  • NPI 1487460770
  NPD (past)

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1245914522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BOXWOOD WAY",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070596859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BOXWOOD WAY",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070596859",
            "telephone_number": "908-801-6425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIERNAN",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01128800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susanna Kayserman, DDS
• Lauren Keane, APN
• Mariam Keita, DO
• Kenneth Donovan DPM LLC
• Harold H Kevanian, DC
• Thomas H Kloos, MD
• Lawrence S Kluger, MD
• Ava Kodrich-Gonzalez, LSW
• Kamilla Kogan, PHARM.D.
• Lori Kolodin, MS,RD

• Occupational Therapist in Warren, NJ
• Providers in Warren, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.