Jennifer Ann Matarese, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

012565 Issued in NY

Practice address

49 Wireless Blvd
Suite 170
Hauppauge, NY 11788-3965

Phone

(631) 382-7311

NPI assigned

May 1, 2007

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

Other names 1

• Miss Jennifer Ann Stabile Former name

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225324800000",
    "number": "1659592335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 GENEVA PL",
            "city": "GREENLAWN",
            "state": "NY",
            "postal_code": "117401906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 WIRELESS BLVD",
            "address_2": "SUITE 170",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117883965",
            "telephone_number": "631-382-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATARESE",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2008-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "012565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "STABILE",
            "middle_name": "ANN",
            "prefix": "MISS",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mia Nasia Martinez
• Sabrina Elizabeth Martini, AG-ACNP
• Allison Susan Massa
• Asia Janay Masson, LMSW
• Iris R Mastrandrea, MACCCLSP
• Rumbidzai Mate
• Olivia Mateo, LPN
• Danielle Matteo
• Patricia Loftus Matthews
• Kathleen J Mattiace, RN

• Pediatric Occupational Therapist in Hauppauge, NY
• Providers in Hauppauge, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; 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.