Active NPI
Jessica A Timmerman, MS-FNP
- Family Nurse Practitioner
- Marlboro, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ00454800
- Practice address
- 4 Ryan Rd
Marlboro, NJ 07746-2445 - Phone
- (866) 389-2727
- NPI assigned
- Jun 17, 2013
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F338012 | NY | |
| Family Nurse Practitioner | 363LF0000X | 26NJ00454800 | NJ | Primary |
Addresses
Primary practice location
4 Ryan Rd
Marlboro, NJ 07746-2445
Mailing address
1 Woodland Ave
Cream Ridge, NJ 08514-2335
Phone (732) 580-2589
Other names 1
- Jessica A Eadicicco
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
368 Lakehurst Rd
Suite 206
Toms River, NJ 08755-7339
Phone (732) 557-9980
595 Division St
Elizabeth, NJ 07201-2038
Phone (908) 289-5646
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 338012 | NY | MD | Licensed Practical Nurse |
| 26NJ00454800 | NJ | MD | Family Nurse Practitioner |
| F338012 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care of New Jersey PA | Current | Accepting new patients | |
| Barnabas Health Medical Group, PC | Current | Accepting new patients | |
| American Current Care of New Jersey, P.a. | Current | Accepting new patients | |
| American Current Care of New Jersey PA | Current | Accepting new patients |
Locations
595 Division St
Elizabeth, NJ 07201
Phone (908) 289-5646
817 E Gate Dr
#102
Mount Laurel, NJ 08054
Phone (856) 778-1090
223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838
5080 Spectrum Dr
Ste 1200W
Addison, TX 75001
Organizations & group practices 4
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.
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- Urgent Care Clinic/Center
- Rahway, NJ
- NPI 1083192561
-
- Urgent Care Clinic/Center
- Mount Laurel, NJ
- NPI 1821266156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439769600000",
"number": "1225477904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 WOODLAND AVE",
"city": "CREAM RIDGE",
"state": "NJ",
"postal_code": "085142335",
"telephone_number": "732-580-2589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 RYAN RD",
"city": "MARLBORO",
"state": "NJ",
"postal_code": "077462445",
"telephone_number": "866-389-2727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIMMERMAN",
"first_name": "JESSICA",
"middle_name": "A",
"credential": "MS-FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-17",
"last_updated": "2015-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F338012",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ00454800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "EADICICCO",
"middle_name": "A",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Marlboro, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.