JACQUELYN KUHN PROVENZANO MOT
NPI 1104499433
Occupational Therapist in East Brunswick, NJ
About Jacquelyn Kuhn Provenzano Mot NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELYN KUHN PROVENZANO MOT (NPI 1104499433) is an individual occupational therapist in East Brunswick, New Jersey, licensed in New Jersey (46TR00610600) and active in the NPI registry since July 2021.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacquelyn Kuhn Provenzano Mot is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Jacquelyn Kuhn Provenzano reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hoboken, NJ 07030
- Reassigned Medicare billing, New Jersey enrollment
- 846 clinicians in this Medicare group
Brooklyn, NY 11207
- Reassigned Medicare billing, New Jersey enrollment
- 48 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jacquelyn Kuhn Provenzano's NPI number?
The NPI number for Jacquelyn Kuhn Provenzano is 1104499433. It was assigned to this individual provider in the NPPES registry on July 23, 2021.
Where is Jacquelyn Kuhn Provenzano located?
Jacquelyn Kuhn Provenzano practices at 579 Cranbury Rd Ste C, East Brunswick, NJ 08816. The listed phone number is (732) 432-0733.
What is Jacquelyn Kuhn Provenzano's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Jacquelyn Kuhn Provenzano enrolled in Medicare?
Yes. Jacquelyn Kuhn Provenzano is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jacquelyn Kuhn Provenzano's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacquelyn Kuhn Provenzano reassigns Medicare benefits to 2 organizations: Ivyrehab Network Inc. (Hoboken, NJ) and Esd Pt Ot & Slp PLLC (Brooklyn, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacquelyn Kuhn Provenzano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jacquelyn Kuhn Provenzano was last updated on July 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.