Individual provider Active NPI

Rita Jauod Malones

  • Gerontology Clinical Nurse Specialist
  • Pompton Lakes, NJ
National Provider Identifier
1275096869
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Clinical Nurse SpecialistTaxonomy code 364SG0600X
License
26NJ00907700 Issued in NJ
Practice address
20 Chestnut Ave
Pompton Lakes, NJ 07442-2406
Phone
(973) 224-3022
Fax
(973) 383-0628
NPI assigned
Apr 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Clinical Nurse Specialist 364SG0600X 26NJ00907700 NJ Primary

Addresses

Primary practice location

20 Chestnut Ave
Pompton Lakes, NJ 07442-2406

Mailing address

20 Chestnut Ave
Pompton Lakes, NJ 07442-2406
Phone (973) 224-3022

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
26NJ00907700NJMDGerontology Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554854400000",
    "number": "1275096869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CHESTNUT AVE",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074422406",
            "telephone_number": "973-224-3022",
            "fax_number": "973-383-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CHESTNUT AVE",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074422406",
            "telephone_number": "973-224-3022",
            "fax_number": "973-383-0628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONES",
        "first_name": "RITA",
        "middle_name": "JAUOD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-10",
        "last_updated": "2019-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "NJ",
            "license": "26NJ00907700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompton Lakes, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; 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.