Individual provider Active NPI

Libby Nesvold, VMD

  • Veterinarian
  • Palisades Park, NJ
National Provider Identifier
1235301367
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
29V100124500 Issued in NJ
Practice address
534 10TH St
Palisades Park, NJ 07650-2338
Phone
(201) 944-0140
Fax
(201) 944-1059
NPI assigned
Mar 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Veterinarian 174M00000X 29V100124500 NJ Primary

Addresses

Primary practice location

534 10TH St
Palisades Park, NJ 07650-2338

Mailing address

534 10TH St
Palisades Park, NJ 07650-2338
Phone (201) 944-0140

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

State licenses

LicenseStateTypeSpecialty
29V100124500NJMDVeterinarian

NPI Registry JSON

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206662400000",
    "number": "1235301367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 10TH ST",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076502338",
            "telephone_number": "201-944-0140",
            "fax_number": "201-944-1059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 10TH ST",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076502338",
            "telephone_number": "201-944-0140",
            "fax_number": "201-944-1059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESVOLD",
        "first_name": "LIBBY",
        "name_prefix": "Dr.",
        "credential": "VMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-28",
        "last_updated": "2008-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "NJ",
            "license": "29V100124500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palisades Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; 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.