JENNA NICOLE DERLETH OT
NPI 1902693807
Occupational Therapist in Staten Island, NY
About Jenna Nicole Derleth Ot NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNA NICOLE DERLETH OT (NPI 1902693807) is an individual occupational therapist in Staten Island, New York, licensed in New York (029970) and active in the NPI registry since April 2025. She is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jenna Nicole Derleth Ot is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STATEN ISLAND, NY 10306
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 Jenna Derleth's NPI number?
The NPI number for Jenna Derleth is 1902693807. It was assigned to this individual provider in the NPPES registry on April 23, 2025.
Where is Jenna Derleth located?
Jenna Derleth practices at 3311 Hylan Blvd, Staten Island, NY 10306. The listed phone number is (718) 448-3210.
What is Jenna Derleth's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Jenna Derleth enrolled in Medicare?
Yes. Jenna Derleth is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Jenna Derleth was last updated on April 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.