Individual provider Active NPI

Jessica M Caggiano, DPT

  • Physical Medicine & Rehabilitation Physician
  • Matawan, NJ
National Provider Identifier
1851626121
Registry record updated Oct 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
40QA01318900 Issued in NJ
Practice address
127 Main St
Suite E
Matawan, NJ 07747-2621
Phone
(732) 970-4974
Fax
(732) 970-4088
NPI assigned
Oct 5, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 40QA01318900 NJ Primary

Addresses

Primary practice location

127 Main St
Suite E
Matawan, NJ 07747-2621

Mailing address

127 Main St
Suite E
Matawan, NJ 07747-2621
Phone (732) 970-4974

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maureen Broderick Wilhelm LPT PA PastSince Jun 1, 2004 Accepting new patients
Mullaney and Associates Physical Therapy PastSince Feb 1, 2006 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254700800000",
    "number": "1851626121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 MAIN ST",
            "address_2": "SUITE E",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077472621",
            "telephone_number": "732-970-4974",
            "fax_number": "732-970-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 MAIN ST",
            "address_2": "SUITE E",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077472621",
            "telephone_number": "732-970-4974",
            "fax_number": "732-970-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAGGIANO",
        "first_name": "JESSICA",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-05",
        "last_updated": "2009-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "40QA01318900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matawan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; 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.