Provider Demographics
NPI:1992111314
Name:MAJDOSZ, JENNIFER A (MS, OTR/L)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:A
Last Name:MAJDOSZ
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69 KEARNEY AVE
Mailing Address - Street 2:
Mailing Address - City:WHIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07981-1272
Mailing Address - Country:US
Mailing Address - Phone:201-400-6693
Mailing Address - Fax:
Practice Address - Street 1:118 FEDERAL RD
Practice Address - Street 2:
Practice Address - City:MONROE TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08831-8018
Practice Address - Country:US
Practice Address - Phone:732-446-0945
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-07
Last Update Date:2014-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00589700225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics