Active NPI
Nancy C Whelan, RN,APN-C
- Pediatric Nurse Practitioner
- Newark, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 26NN10834400
- Practice address
- 200 Lyons Ave
Building L-5 Pediatric Gastroenterology
Newark, NJ 07112-2026 - Phone
- (973) 926-7280
- Fax
- (973) 705-3148
- NPI assigned
- Jul 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 26NO10834400 | NJ | |
| Pediatric Nurse Practitioner | 363LP0200X | 26NN10834400 | NJ | Primary |
Addresses
Primary practice location
200 Lyons Ave
Building L-5 Pediatric Gastroenterology
Newark, NJ 07112-2026
Mailing address
1123 Coolidge Rd
Elizabeth, NJ 07208-1005
Phone (908) 355-0355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NN10834400 | NJ | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rutgers Health-RWJ Scleroderma Program | Current | Accepting new patients | |
| Rutgers Health-RWJ Scleroderma Program | Current | Accepting new patients | |
| Rutgers Health-RWJ Primary Medicine Group | Current | Accepting new patients | |
| Rutgers Health-RWJ Scleroderma Program | Current | Accepting new patients | |
| Barnabas Health Medical Group PC | Current | Accepting new patients | |
| Rutgers Health-RWJ Scleroderma Program | Current | Accepting new patients | |
| Barnabas Health Medical Group PC | Current | Accepting new patients |
Locations
475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
89 French St
New Brunswick, NJ 08901
Phone (732) 235-6230
195 Little Albany St
New Brunswick, NJ 08901
Phone (732) 235-2465
1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887
125 Paterson St
Ste 5100
New Brunswick, NJ 08901
Phone (732) 235-7060
125 Paterson St
Ste 6100
New Brunswick, NJ 08901
Phone (732) 235-6561
125 Paterson St
Ste 4200
New Brunswick, NJ 08901
Phone (732) 235-6600
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Elizabeth, NJ
- NPI 1841557246
-
- Pediatric Adolescent Medicine Physician
- New Brunswick, NJ
- NPI 1023055738
-
- Allergy & Immunology (Internal Medicine) Physician
- New Brunswick, NJ
- NPI 1679655781
-
- Durable Medical Equipment & Medical Supplies
- Hackensack, NJ
- NPI 1316772668
-
- Internal Medicine Physician
- New Brunswick, NJ
- NPI 1992887012
-
- Psychiatry Physician
- Piscataway, NJ
- NPI 1033207378
-
- Radiation Oncology Physician
- New Brunswick, NJ
- NPI 1942249909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626998400000",
"number": "1114124203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1123 COOLIDGE RD",
"city": "ELIZABETH",
"state": "NJ",
"postal_code": "072081005",
"telephone_number": "908-355-0355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 LYONS AVE",
"address_2": "BUILDING L-5 PEDIATRIC GASTROENTEROLOGY",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071122026",
"telephone_number": "973-926-7280",
"fax_number": "973-705-3148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHELAN",
"first_name": "NANCY",
"middle_name": "C",
"name_prefix": "Ms.",
"credential": "RN,APN-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-02",
"last_updated": "2021-07-23",
"certification_date": "2021-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NJ",
"license": "26NO10834400",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NJ",
"license": "26NN10834400",
"primary": true
}
],
"identifiers": [],
"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 Jul 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.