Angelica L Dejesus, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

009308-1 Issued in NY

Practice address

365 Bronx River Rd
Yonkers, NY 10704-3445

Phone

(646) 269-2463

NPI assigned

Jan 22, 2018

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": "1516579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516579200000",
    "number": "1366950560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 BRONX RIVER RD APT 7M",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107043464",
            "telephone_number": "646-269-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 BRONX RIVER RD",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107043445",
            "telephone_number": "646-269-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJESUS",
        "first_name": "ANGELICA",
        "middle_name": "L",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-22",
        "last_updated": "2018-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "009308-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Lousie Dee, LPN
• Nicole Issa Deeb
• Bhupinder Deep
• Jean Elizabeth Defranco, LPN
• Teresa Maria Deherrera, BCBA, LBA
• Lynette Dejesus
• Eduardo Santos Del Rosario Jr., PHD, FNP-BC
• Michelle A Del Rosario, NP
• Minelsa C Del Rosario
• Jacquelyn Santiago Dela Cruz

• Occupational Therapy Assistant in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Occupational Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2018; 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.