Jennifer Ilene Otero, is a
Speech-language Pathologist based in Upper Montclair, New Jersey. Jennifer Ilene Otero is licensed to practice in New Jersey (license number 41YS00335600) and her current practice location is
359 Upper Mountain Ave, Upper Montclair, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(201) 655-3622.
NPI number for Jennifer Ilene Otero is 1659837177 and her current mailing address is 359 Upper Mountain Ave, Upper Montclair, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659837177.
Healthcare Provider's Profile
Full Name | Jennifer Ilene Otero |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 359 Upper Mountain Ave, Upper Montclair, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1659837177
- Provider Enumeration Date: 02/20/2019
- Last Update Date: 02/20/2019
Medical Identifiers
Medical identifiers for Jennifer Ilene Otero such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659837177 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 41YS00335600 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Ilene Otero is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jennifer Ilene Otero, 359 Upper Mountain Ave, Upper Montclair, NJ 07043-1424 Ph: (201) 655-3622 | Jennifer Ilene Otero, 359 Upper Mountain Ave, Upper Montclair, NJ 07043-1424 Ph: (201) 655-3622 |
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