Individual provider Active NPI

Janet Ellen Coley-Lima, APN

  • Adult Health Nurse Practitioner
  • East Orange, NJ
National Provider Identifier
1124037809
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NN08411300 Issued in NJ
Practice address
385 Tremont Avenue
HBPC, Mail Code 11E-3
East Orange, NJ 07018-1023
Phone
(973) 676-1000
Fax
(973) 395-7042
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NN08411300 NJ Primary

Addresses

Primary practice location

385 Tremont Avenue
HBPC, Mail Code 11E-3
East Orange, NJ 07018-1023

Mailing address

12 Mitchell Avenue
Chatham, NJ 07928
Phone (973) 635-3426

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121024000528 NJ Order and Referring Only - Nurse Practitioner 5799965646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124037809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MITCHELL AVENUE",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "07928",
            "telephone_number": "973-635-3426",
            "fax_number": "973-395-7042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 TREMONT AVENUE",
            "address_2": "HBPC, MAIL CODE 11E-3",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181023",
            "telephone_number": "973-676-1000",
            "fax_number": "973-395-7042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEY-LIMA",
        "first_name": "JANET",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NN08411300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

Verify at the official NPI Registry.