JESSICA DEGONZAGUE
NPI 1104217256
Specialist in Ronkonkoma, NY

Active since February 11, 2015
90 AIR PARK DR, RONKONKOMA, NY 11779(631) 580-4001 Get Directions Write a Review

NPPES record last updated: February 11, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jessica Degonzague NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA DEGONZAGUE (NPI 1104217256) is an individual specialist in Ronkonkoma, New York and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1104217256
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameJESSICA DEGONZAGUE
Location Address90 AIR PARK DRRonkonkoma, NY 11779-7360
Mailing Address6 Birch AveSound Beach, NY 11789-2534
Sole ProprietorNo
Enumeration DateFebruary 11, 2015
NPI 1104217256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

90 AIR PARK DR, Ronkonkoma, NY 11779

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
90 AIR PARK DR
RONKONKOMA, NY 11779
Occupational Therapist (Pediatrics)
90 AIR PARK DR
RONKONKOMA, NY 11779
Specialist
90 AIR PARK DR
RONKONKOMA, NY 11779
Specialist
90 AIR PARK DR
RONKONKOMA, NY 11779
Local Education Agency (LEA)
90 AIR PARK DR
RONKONKOMA, NY 11779
Specialist
90 AIR PARK DR
RONKONKOMA, NY 11779
Speech-Language Pathologist
90 AIR PARK DR
RONKONKOMA, NY 11779
Psychologist (Clinical)
90 AIR PARK DR
RONKONKOMA, NY 11779

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Degonzague's NPI number?

The NPI number for Jessica Degonzague is 1104217256. It was assigned to this individual provider in the NPPES registry on February 11, 2015.

Where is Jessica Degonzague located?

Jessica Degonzague practices at 90 Air Park Dr, Ronkonkoma, NY 11779. The listed phone number is (631) 580-4001.

What is Jessica Degonzague's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jessica Degonzague was last updated on February 11, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.