Active NPI
Essex Valley Visiting Nurse Association
- Home Health Agency
- Newark, NJ
National Provider Identifier
1023119799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 22434
- Legal business name
- ESSEX VALLEY VISITING NURSE ASSOCIATION
- Practice address
- 274 S Orange Ave FL 3
Newark, NJ 07103-2419 - Phone
- (973) 412-2000
- Fax
- (973) 481-6395
- NPI assigned
- Sep 26, 2006
- Last updated
- Mar 17, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Gail Rader, RN, MSN
- Title
- Interim Executive Director
- Phone
- (973) 412-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 22434 | NJ | Primary |
Addresses
Primary practice location
274 S Orange Ave FL 3
Newark, NJ 07103-2419
Mailing address
274 S Orange Ave FL 3
Newark, NJ 07103-2419
Phone (973) 412-2000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3690008 | Medicaid | NJ | |
| 3690016 | Medicaid | NJ | |
| 3690032 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205712000000",
"number": "1023119799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "274 S ORANGE AVE FL 3",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071032419",
"telephone_number": "973-412-2000",
"fax_number": "973-481-6395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "274 S ORANGE AVE FL 3",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071032419",
"telephone_number": "973-412-2000",
"fax_number": "973-481-6395"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ESSEX VALLEY VISITING NURSE ASSOCIATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-26",
"last_updated": "2008-03-17",
"status": "A",
"authorized_official_last_name": "RADER",
"authorized_official_first_name": "GAIL",
"authorized_official_title_or_position": "INTERIM EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "973-412-2000",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN, MSN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NJ",
"license": "22434",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3690008",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3690016",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3690032",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.