Judy Derosena, MED, LPC, NCC in West Orange, NJ

Judy Derosena, MED, LPC, NCC is a medicare enrolled "Counselor - Mental Health" provider in West Orange, New Jersey. Her current practice location is 33 Cannon St, West Orange, New Jersey. You can reach out to her office (for appointments etc.) via phone at (732) 962-4704.

Judy Derosena is licensed to practice in New Jersey (license number 37PC00943700) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1053083212.

Contact Information

	Judy Derosena, MED, LPC, NCC
	33 Cannon St, West Orange, NJ 07052-3646
	(732) 962-4704
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Judy Derosena
Gender	Female
Speciality	Counselor - Mental Health
Location	33 Cannon St, West Orange, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053083212
Provider Enumeration Date: 10/05/2021
Last Update Date: 01/16/2026

Medicare PECOS Information:

PECOS PAC ID: 6507395902
Enrollment ID: I20250130001418

Medical Identifiers

Medical identifiers for Judy Derosena such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053083212	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	37PC00943700 (New Jersey)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Judy Derosena allows following entities to bill medicare on her behalf.

Entity Name	Shore Psychological Healthcare Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477563534 PECOS PAC ID: 6305846379 Enrollment ID: O20061226000015

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Judy Derosena is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Judy Derosena, MED, LPC, NCC 33 Cannon St, West Orange, NJ 07052-3646 Ph: (732) 962-4704	Judy Derosena, MED, LPC, NCC 33 Cannon St, West Orange, NJ 07052-3646 Ph: (732) 962-4704

Reviews and Comments

Counselor in West Orange, NJ

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Judy Derosena, MED, LPC, NCC - Medicare Counselor in West Orange, NJ