Healthcare Provider Details

I. General information

NPI: 1942104724
Provider Name (Legal Business Name): JESSICA R DEL MONICO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2122 RTE 35
OAKHURST NJ
07755-7202
US

IV. Provider business mailing address

2122 RTE 35
OAKHURST NJ
07755-7202
US

V. Phone/Fax

Practice location:
  • Phone: 732-493-0900
  • Fax:
Mailing address:
  • Phone: 732-493-0900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number25MG00165900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: