Maureen Whelan Dejacimo, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00351100 Issued in NJ

Practice address

2516 Highway 35
Manasquan, NJ 08736-1925

Phone

(732) 223-6309

NPI assigned

Nov 11, 2019

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

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": "1573430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573430400000",
    "number": "1851936173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2218 MAHONEY DR",
            "city": "POINT PLEASANT BORO",
            "state": "NJ",
            "postal_code": "087423821",
            "telephone_number": "732-608-3199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2516 HIGHWAY 35",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361925",
            "telephone_number": "732-223-6309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJACIMO",
        "first_name": "MAUREEN",
        "middle_name": "WHELAN",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-11",
        "last_updated": "2019-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00351100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Cheli MD PA
• Jamie T Davison-Ortiz
• Craig J Davitt, PA-C
• Riley Defeis, DPT
• Deonde R Degennaro, PA-C
• Gustavo Delaluz, MD
• Katherine Delorenzo, DPT
• Frederick A Depaola, M.D.
• Amy Marie Derrick, APN
• Dawn Marie Devenny

• Occupational Therapist in Manasquan, NJ
• Providers in Manasquan, 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 Nov 11, 2019; 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.