Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jessica Taylor Dedomenico, MS, LAT, ATC

Individual provider Athletic Trainer · NPI 1457088700

Jessica Taylor Dedomenico, MS, LAT, ATC is an Athletic Trainer in Brick, New Jersey. Licensed in New Jersey. Registered with an NPI since 2022.

Licensed in
NJ
In the registry since
2022
What do these letters mean?
MS — Master of Science
A graduate science degree.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

110 Cartagena Dr
Brick, NJ 08723-7005
Phone: (609) 495-5899
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 25MT00307100 (NJ)

Record details

NPI number1457088700
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , LAT , ATC
Sole proprietorNo
NPI enumeratedAugust 5, 2022
Last updated in NPPESAugust 5, 2022
Certification dateJuly 29, 2022

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