Vernonway Healthcare Agency

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

VERNONWAY HEALTHCARE AGENCY

Doing business as

Transformational Healthcare Services

Practice address

123 Highland Ave Ste G2
Glen Ridge, NJ 07028-1522

Phone

(908) 304-9577

Fax

(908) 652-9230

NPI assigned

Aug 9, 2024

Organization subpart

No

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

Authorized official

Name

Jemima M Celestin, NPNPI 1225867427

Title

Owner

Phone

(908) 304-9577

Specialties & licenses 2

Addresses

Other names 1

• Transformational Healthcare Services Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jemima M Celestin, NP

  • Adult Health Clinical Nurse Specialist
  • Glen Ridge, NJ
  • NPI 1225867427
  NPD Authorized official

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1164253258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 HIGHLAND AVE STE G2",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070281522",
            "telephone_number": "908-304-9577",
            "fax_number": "908-652-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 HIGHLAND AVE STE G2",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070281522",
            "telephone_number": "908-304-9577",
            "fax_number": "908-652-9230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERNONWAY HEALTHCARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "CELESTIN",
        "authorized_official_first_name": "JEMIMA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-304-9577",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Transformational Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Transformational Healthcare Services
• Transformational Healthcare Services
• Ellen E Urrutia, MD
• John J Vaccaro, MD
• Christopher Valerian, D.O.
• John Salvatore Voltarelli, MA
• Foram Vyas, PHARMD
• Lois Jean Waldman, MA
• Konstantin Walmsley, M.D.
• Francis E Wanat, MD

• Adult Health Nurse Practitioner in Glen Ridge, NJ
• Providers in Glen Ridge, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.