Janesse Banom, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

2350 Hospital Rd
Allenwood, NJ 08720-7037

Phone

(732) 683-8600

NPI assigned

Mar 7, 2022

Last updated

Mar 7, 2022By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Achieve at Home Therapy Services

  • Occupational Therapist
  • Red Bank, NJ
  • NPI 1033867189

  Single Specialty

  NPD

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

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1396492583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 APPLEGARTH RD",
            "city": "MONROE TOWNSHIP",
            "state": "NJ",
            "postal_code": "088315905",
            "telephone_number": "407-749-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 HOSPITAL RD",
            "city": "ALLENWOOD",
            "state": "NJ",
            "postal_code": "087207037",
            "telephone_number": "732-683-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANOM",
        "first_name": "JANESSE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-07",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "janz1279@gmail.com",
            "affiliation": "N",
            "endpointDescription": "personal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "165 Applegarth Rd",
            "city": "Monroe Township",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088315905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Patricia Baszczuk, PH.D.
• Kyle Bonner
• Diane Carbone, PH.D.
• Kirsten Karen Cianci, VMD
• Coastal Homecare Physicians, LLC

• Occupational Therapist in Allenwood, NJ
• Providers in Allenwood, 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 Mar 7, 2022; 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.