Individual provider Active NPI

Jayne Lynch Waddell, RN LPC

  • Registered Nurse
  • Tenafly, NJ
National Provider Identifier
1124181607
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
26N004232900 Issued in NJ
Practice address
140 County Road Ste 106
Tenafly, NJ 07670
Phone
(201) 248-3950
Fax
(201) 248-3950
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 37PC00013300-LPC NJ
Registered Nurse 163W00000X 26N004232900 NJ Primary

Addresses

Primary practice location

140 County Road Ste 106
Tenafly, NJ 07670

Mailing address

14 Colonial Road
Tenafly, NJ 07670
Phone (201) 568-7902

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
37PC00013300-LPCNJMDCounselor
26N004232900NJMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1124181607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 COLONIAL ROAD",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "07670",
            "telephone_number": "201-568-7902",
            "fax_number": "201-568-7902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 COUNTY ROAD STE 106",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "07670",
            "telephone_number": "201-248-3950",
            "fax_number": "201-248-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADDELL",
        "first_name": "JAYNE",
        "middle_name": "LYNCH",
        "name_prefix": "Mrs.",
        "credential": "RN LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37PC00013300-LPC",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26N004232900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tenafly, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.