Jessica Digennaro

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR01059700 Issued in NJ

Practice address

517 Whitehorn CT
Brick, NJ 08723-6475

Phone

(908) 783-9507

NPI assigned

May 20, 2022

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

Enrolled in NJ

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Hofstra North Shore - Lij School of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bluemark Rehab LLCGroup PAC ID 5092109140, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Bluemark Rehab LLC

  • Rehabilitation Practitioner
  • Lakewood, NJ
  • NPI 1548915960
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1740928720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 WHITEHORN CT",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087236475",
            "telephone_number": "908-783-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 WHITEHORN CT",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087236475",
            "telephone_number": "908-783-9507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGENNARO",
        "first_name": "JESSICA",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01059700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Frank Diana, DDS
• Daniel Diaz, D.D.S.
• Deanna L Dicorcia, MA
• Ratha Diep, D.M.D.
• Megan Dietrich
• Anthony Digironimo, LPO
• Frank J Digironimo Jr., LPO
• Rosemarie Digregorio
• Richard Lansing Dillon, M.D.
• Marissa Dimeglio, LCSW

• Occupational Therapist in Brick, NJ
• Providers in Brick, 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 May 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.