Active NPI
Jennifer Jeanty, APN-C, DNP
- Nurse Practitioner
- Denville, NJ
National Provider Identifier
1235680430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 26NJ00671200
- Practice address
- 280 W Main St FL 2
Denville, NJ 07834 - Phone
- (973) 957-0871
- NPI assigned
- Oct 22, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 26NJ00671200 | NJ | Primary |
Addresses
Primary practice location
280 W Main St FL 2
Denville, NJ 07834
Mailing address
280 W Main St
Denville, NJ 07834-1233
Phone (973) 957-0871
Other practice location 1
502 Main St
Boonton, NJ 07005-1716
Phone (973) 978-3175
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161201000166 | NJ | Practitioner - Nurse Practitioner | 7113207549 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00671200 | NJ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Davis Chiropractic Center LLC | Current | Accepting new patients |
Locations
316 Orange Rd
Montclair, NJ 07042
Phone (973) 783-3606
Organizations & group practices 1
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.
-
- Chiropractor
- Montclair, NJ
- NPI 1720104425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549324800000",
"number": "1235680430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 W MAIN ST",
"city": "DENVILLE",
"state": "NJ",
"postal_code": "078341233",
"telephone_number": "973-957-0871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 W MAIN ST FL 2",
"city": "DENVILLE",
"state": "NJ",
"postal_code": "07834",
"telephone_number": "973-957-0871"
}
],
"practiceLocations": [
{
"address_1": "502 Main St",
"address_purpose": "LOCATION",
"city": "Boonton",
"state": "NJ",
"postal_code": "070051716",
"country_code": "US",
"telephone_number": "973-978-3175",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JEANTY",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "APN-C, DNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-22",
"last_updated": "2019-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "26NJ00671200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.