Individual provider Active NPI

Joanne R Samuel

  • Nurse Practitioner
  • Haddon Heights, NJ
National Provider Identifier
1043262132
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NC06760200 Issued in NJ
Practice address
210 W Atlantic Ave
Haddon Heights, NJ 08035-1715
Phone
(856) 547-0539
Fax
(856) 547-3178
NPI assigned
May 17, 2006
Last updated
Oct 31, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NC06760200 NJ Primary

Addresses

Primary practice location

210 W Atlantic Ave
Haddon Heights, NJ 08035-1715

Mailing address

120 White Horse Pike
Suite 112
Haddon Heights, NJ 08035-1927
Phone (856) 547-0539

Other names 1

  • Joanne Rowley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
26NC06760200NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Associates of the Delaware Valley,P a PastSince Sep 1, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193788800000",
    "number": "1043262132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 WHITE HORSE PIKE",
            "address_2": "SUITE 112",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351927",
            "telephone_number": "856-547-0539",
            "fax_number": "856-547-3178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W ATLANTIC AVE",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351715",
            "telephone_number": "856-547-0539",
            "fax_number": "856-547-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "JOANNE",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2007-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NC06760200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNE",
            "last_name": "ROWLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Haddon Heights, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.