Individual provider Active NPI

Jason Matthew Degenaro, DPT

  • Orthopedic Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1346674397
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
036626 Issued in NY
Practice address
670 6TH Ave
Brooklyn, NY 11215-6800
Phone
(718) 369-2560
NPI assigned
Aug 27, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 036626 NY Primary

Addresses

Primary practice location

670 6TH Ave
Brooklyn, NY 11215-6800

Mailing address

1431 68TH St
Brooklyn, NY 11219-6223
Phone (718) 619-0395

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Physical Therapy Services LLC Orthopedic CurrentSince Oct 1, 2019 Accepting new patients
Masefield & Cavallaro Physical Therapy PC Orthopedic CurrentSince Oct 28, 2013 Accepting new patients

Locations

7 Carnegie Plz
Cherry Hill, NJ 08003

7608 15th Ave
Brooklyn, NY 11228
Phone (718) 234-8984

1415 Richmond Ave
Staten Island, NY 10314
Phone (212) 475-5540

Organizations & group practices 2

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": "1377561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377561600000",
    "number": "1346674397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 68TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112196223",
            "telephone_number": "718-619-0395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 6TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112156800",
            "telephone_number": "718-369-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGENARO",
        "first_name": "JASON",
        "middle_name": "MATTHEW",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-27",
        "last_updated": "2013-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "036626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; 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.