Healthcare Provider Details

I. General information

NPI: 1962566299
Provider Name (Legal Business Name): JESSICA KARP MSST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 US HIGHWAY 130
EAST WINDSOR NJ
08520-2792
US

IV. Provider business mailing address

4403 HUNTERS GLEN DR
PLAINSBORO NJ
08536-3913
US

V. Phone/Fax

Practice location:
  • Phone: 609-918-0600
  • Fax: 609-918-0601
Mailing address:
  • Phone: 732-859-2768
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225500000X
TaxonomyRespiratory/Developmental/Rehabilitative Specialist/Technologist
License Number41YS00442500
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: