Active NPI
Denise M Keegan, OT/L
- Specialist
- National Park, NJ
National Provider Identifier
1679728885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 015305-1
- Practice address
- 300 North Grand Ave
National Park, NJ 08063 - Phone
- (609) 238-5344
- NPI assigned
- Dec 2, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 015305-1 | NY | Primary |
Addresses
Primary practice location
300 North Grand Ave
National Park, NJ 08063
Mailing address
300 Grand Ave
National Park, NJ 08063-1029
Phone (609) 238-5344
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015305-1 | NY | MD | Speech-Language Pathologist |
| 015305 | NY | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228176000000",
"number": "1679728885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 GRAND AVE",
"city": "NATIONAL PARK",
"state": "NJ",
"postal_code": "080631029",
"telephone_number": "609-238-5344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 NORTH GRAND AVE",
"city": "NATIONAL PARK",
"state": "NJ",
"postal_code": "08063",
"telephone_number": "609-238-5344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEEGAN",
"first_name": "DENISE",
"middle_name": "M",
"credential": "OT/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-02",
"last_updated": "2008-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "015305-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in National Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.