Jessica T Dedomenico, MS, LAT, ATC
Specialist/Technologist, Athletic Trainer in Brick, New Jersey
1457088700- Practice location
- 110 Cartagena Dr, Brick, NJ 08723-7005
- Phone
- 609-495-5899
- Fax
- —
- Last updated
- August 5, 2022
Jessica Taylor Dedomenico is a Specialist/Technologist, Athletic Trainer based in Brick, NJ. Jessica Taylor Dedomenico practices in Brick, NJ and has the professional credentials of MS, LAT, ATC. The NPI Number for Jessica Taylor Dedomenico is 1457088700 and holds a License No. 25MT00307100 (NJ). The current practice location address for Jessica Taylor Dedomenico is 110 Cartagena Dr, Brick, NJ 08723-7005 and can be reached out via phone at 609-495-5899.
Provider Profile Details
- NPI Number
- 1457088700
- Provider Name
- Jessica Taylor Dedomenico
- Credential
- MS, LAT, ATC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 110 Cartagena Dr, Brick, NJ 08723-7005
- Phone Number
- 609-495-5899
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 5, 2022
- Last Update Date
- August 5, 2022
- Certification Date
- July 29, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 110 Cartagena Dr
Brick, NJ 08723-7005 - City
- Brick
- State
- New Jersey
- Zip
- 08723-7005
- Phone Number
- 609-495-5899
Provider Business Mailing Address Details
- Address
- 457 Cr-64
Brick, NJ 08724 - City
- Brick
- State
- NJ
- Zip
- 08724
- Phone Number
- 732-800-9000
License Information
- License Number
- 25MT00307100
- License State
- NJ
- Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jessica T Dedomenico, MS, LAT, ATC?
The NPI number of Jessica T Dedomenico, MS, LAT, ATC is 1457088700. It was assigned on August 5, 2022 and is currently active in the NPPES registry.
What is the specialty of Jessica T Dedomenico, MS, LAT, ATC?
Jessica T Dedomenico, MS, LAT, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NJ under license number 25MT00307100.
Where does Jessica T Dedomenico, MS, LAT, ATC practice?
The practice location is 110 Cartagena Dr, Brick, NJ 08723-7005. The office can be reached at 609-495-5899 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457088700 directly on the NPPES registry website.