Jennifer Piskadlo, MSN, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ00398400 Issued in NJ

Practice address

36 Madison Ave
Drew University Student Health Services
Madison, NJ 07940-1434

Phone

(973) 408-3414

NPI assigned

Nov 30, 2010

Last updated

Nov 8, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Drew University Health Service

  • Student Health Clinic/Center
  • Madison, NJ
  • NPI 1366836462
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478563200000",
    "number": "1023310877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 MANOR AVE",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070162063",
            "telephone_number": "201-290-3765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 MADISON AVE",
            "address_2": "DREW UNIVERSITY STUDENT HEALTH SERVICES",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079401434",
            "telephone_number": "973-408-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISKADLO",
        "first_name": "JENNIFER",
        "credential": "MSN, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-30",
        "last_updated": "2016-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP010921",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00398400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Payne
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• Pinpoint Physical Therapy, LLC (Pinpoint Physical Therapy)
• Post-Acute Physicians of New Jersey, LLC
• Alexis Marie Powers
• Shaquanda Preston
• Professional Occupational & Physical Therapy, PLLC
• Professional Physical Therapy & Training, LLC

• Family Nurse Practitioner in Madison, NJ
• Providers in Madison, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.