Nichole Cecilia Jenisch, R.N., A.P.N.,C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

26NJ00139200 Issued in NJ

Practice address

1 Health PLZ BLDG 315
East Hanover, NJ 07936-1016

Phone

(862) 778-7960

Fax

(973) 791-6505

NPI assigned

Nov 20, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

The Medical Group of New JerseyGroup PAC ID 4082979166, 299 clinicians

Advanced Behavioral Counseling of Northern New Jersey LLCGroup PAC ID 9739216102, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Newton Medical Center Hospital, Newton, NJ, CCN 310028

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

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.

• Practice Associates Medical Group

  • Internal Medicine Physician
  • Morristown, NJ
  • NPI 1427016385
  Medicare reassignment Care Compare group NPD
• The Radiology Group of New Jersey, LLC

  • Multi-Specialty Clinic/Center
  • Hackettstown, NJ
  • NPI 1174010540
  Medicare reassignment Care Compare group NPD
• Zufall Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Dover, NJ
  • NPI 1548515091
  Medicare reassignment NPD
• Advanced Behavioral Counseling of Northern New Jersey LLC

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Newton, NJ
  • NPI 1184878449
  Care Compare group
• Zufall Health Center, Inc

  • Community/Retail Pharmacy
  • Dover, NJ
  • NPI 1285324673
  NPD
• Monmouth Digestive Health LLC

  • Gastroenterology Physician
  • Eatontown, NJ
  • NPI 1831721232
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ahs Hospital Corp

  • General Acute Care Hospital
  • Newton, NJ
  • NPI 1790789212
  Care Compare affiliation

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1235310012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416457",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416457",
            "telephone_number": "844-362-1735",
            "fax_number": "973-290-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HEALTH PLZ BLDG 315",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079361016",
            "telephone_number": "862-778-7960",
            "fax_number": "973-791-6505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Madison Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "NJ",
            "postal_code": "079607305",
            "country_code": "US",
            "telephone_number": "862-778-7960",
            "fax_number": "973-781-6505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13A Main St Ste 7",
            "address_purpose": "LOCATION",
            "city": "Sparta",
            "state": "NJ",
            "postal_code": "078711941",
            "country_code": "US",
            "telephone_number": "973-726-0355",
            "fax_number": "973-726-0255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENISCH",
        "first_name": "NICHOLE",
        "middle_name": "CECILIA",
        "name_prefix": "Mrs.",
        "credential": "R.N., A.P.N.,C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-20",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00139200",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "NJ00139200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Intromasso
• Carol Irving, MD
• Melvin Itty, DPT
• Molly Jacob, APN
• Lyssa Sorkin Jacobs, MD
• JJD Senior Services,LLC
• John J. Graeber DMD (PA)
• Junior Chiropractic Center, P.a.
• Daniel Bernard Junior III, D.C.
• Just for You Two, LLC

• Nurse Practitioner in East Hanover, NJ
• Providers in East Hanover, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.

Verify at the official NPI Registry.