Individual provider Active NPI

Jemima M Celestin, NP

  • Adult Health Clinical Nurse Specialist
  • Glen Ridge, NJ
National Provider Identifier
1225867427
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
26NJ15098600 Issued in NJ
Practice address
123 Highland Ave Ste G2
Glen Ridge, NJ 07028-1522
Phone
(888) 344-4549
Fax
(908) 652-9230
NPI assigned
Jul 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 26NJ15098600 NJ
Adult Health Clinical Nurse Specialist 364SA2200X 26NJ15098600 NJ Primary

Addresses

Primary practice location

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

Mailing address

123 Highland Ave Ste G2
Glen Ridge, NJ 07028-1522
Phone (888) 344-4549

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
I20250204003232 NJ Practitioner - Nurse Practitioner 7911212865 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SM Medical LLCGroup PAC ID 6406145796, 6 clinicians

Practice addresses (Care Compare)

135 Bloomfield Ave
Suite F
Bloomfield, NJ 07003-5902
Phone (862) 213-0033

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Id Care LLC CurrentSince Aug 1, 2025 Accepting new patients
SM Medical, LLC CurrentSince Jan 14, 2025 Accepting new patients
Vernonway Healthcare Agency Current Accepting new patients

Locations

135 Bloomfield Ave
Ste F
Bloomfield, NJ 07003
Phone (862) 213-0033

123 Highland Ave
Ste G2
Glen Ridge, NJ 07028
Phone (888) 344-4549

105 Raider Blvd
Ste 101
Hillsborough, NJ 08844
Phone (908) 281-0221

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1225867427",
    "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": "888-344-4549",
            "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": "888-344-4549",
            "fax_number": "908-652-9230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CELESTIN",
        "first_name": "JEMIMA",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ15098600",
            "primary": false
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "NJ",
            "license": "26NJ15098600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Ridge, NJ

Sources for this page

Verify at the official NPI Registry.