Individual provider Active NPI

Dominique Marie Dierking, MOT

  • Occupational Therapist
  • Somerset, NJ
National Provider Identifier
1902575996
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
454 Elizabeth Ave
Somerset, NJ 08873-5111
Phone
(732) 860-5757
NPI assigned
Sep 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

454 Elizabeth Ave
Somerset, NJ 08873-5111

Mailing address

2 River Dr
Farmingdale, NJ 07727-3857
Phone (732) 299-7266

Other names 1

  • Dominique Marie Trotte Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211104003230 NJ Practitioner - Occupational Therapist in Private Practice 5395134704 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Performance Medical Group of SomersetGroup PAC ID 0941612360, 23 clinicians

Practice addresses (Care Compare)

454 Elizabeth Ave
Somerset, NJ 08873-5111
Phone 9087562424135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Medical Group of Hillsborough LLC CurrentSince Jun 26, 2025 Accepting new patients
Performance Medical of Watchung LLC CurrentSince Oct 28, 2021 Accepting new patients
Performance Medical Group of Somerset CurrentSince Oct 28, 2021 Accepting new patients

Locations

1011 US Highway 22
Bridgewater, NJ 08807

1011 US Highway 22
Ste 203
Bridgewater, NJ 08807
Phone 9087562424135

105 Raider Blvd
Ste 201
Hillsborough, NJ 08844

454 Elizabeth Ave
Somerset, NJ 08873
Phone (732) 319-0132

459 Watchung Ave
Watchung, NJ 07069
Phone (908) 274-0988

10 Johnston Dr
Watchung, NJ 07069

Organizations & group practices 4

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": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1902575996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 RIVER DR",
            "city": "FARMINGDALE",
            "state": "NJ",
            "postal_code": "077273857",
            "telephone_number": "732-299-7266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 ELIZABETH AVE",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088735111",
            "telephone_number": "732-860-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIERKING",
        "first_name": "DOMINIQUE",
        "middle_name": "MARIE",
        "credential": "MOT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-13",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOMINIQUE",
            "last_name": "TROTTE",
            "middle_name": "MARIE",
            "credential": "MOT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Somerset, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; 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.