Individual provider Active NPI

Jane Fitzgerald

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1942408349
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
8890-1 Issued in NY
Practice address
333 Avenue S
Brooklyn, NY 11223-2950
Phone
(718) 376-8311
NPI assigned
Jul 6, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 8890-1 NY Primary

Addresses

Primary practice location

333 Avenue S
Brooklyn, NY 11223-2950

Mailing address

333 4TH St Apt 4B
Brooklyn, NY 11215-2847

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180522000894 NJ Practitioner - Occupational Therapist in Private Practice 0547525537 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8890-1NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
At Home by Enhance Therapies LLC CurrentSince Jul 1, 2023 Accepting new patients
Metro Physical Therapy LLC CurrentSince Jul 11, 2025 Accepting new patients
Synaptic Rehabilitation, LLC CurrentSince May 1, 2023 Accepting new patients
Prime Rehabilitation Services, Inc. CurrentSince Jul 10, 2022 Accepting new patients
Synaptic Rehab Bridgewater PastSince May 1, 2023 Accepting new patients

Locations

411 Hackensack Ave
Ste 200
Hackensack, NJ 07601
Phone (732) 987-3833

400 Route 70
Lakewood, NJ 08701
Phone (732) 802-7512

1 Main St
Ste 505
Tinton Falls, NJ 07724

905 State Route 10
Ste 1
Whippany, NJ 07981
Phone (973) 929-2729

800 E Gate Blvd
Garden City, NY 11530

8 John Walsh Blvd
Ste 406A
Peekskill, NY 10566
Phone (732) 440-7858

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942408349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 4TH ST APT 4B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112152847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 AVENUE S",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232950",
            "telephone_number": "718-376-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "JANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "8890-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.