Active NPI
Jennifer Joy Williams, APN
- Adult Health Nurse Practitioner
- Teaneck, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 26NJ00964800
- Practice address
- 550 Center PL
Teaneck, NJ 07666-1626 - Phone
- (201) 805-5404
- NPI assigned
- Nov 19, 2019
- Last updated
- Nov 19, 2019
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 26NJ00964800 | NJ | Primary |
Addresses
Primary practice location
550 Center PL
Teaneck, NJ 07666-1626
Mailing address
301 Sicomac Ave
Wyckoff, NJ 07481-2159
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
103 Carnegie Ctr
Suite 300
Princeton, NJ 08540-6235
Phone (888) 964-6681
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridgecare Provider Group LLC | Current | Accepting new patients | |
| Geriatrics and Longevity Treatment Specialist, PC | Current | Accepting new patients | |
| Careconnectmd New Jersey PC | Current | Accepting new patients |
Locations
3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182
173 Bridge Plz N
Fort Lee, NJ 07024
Phone (201) 242-4000
810 Main St
Hackensack, NJ 07601
Phone (201) 488-6728
101 Eisenhower Pkwy
Ste 300
Roseland, NJ 07068
Phone (201) 520-7221
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Geriatric Medicine (Internal Medicine) Physician
- Framingham, MA
- NPI 1134951676
NJ
-
- Primary Care Nurse Practitioner
- Wayne, NJ
- NPI 1164148672
-
- Geriatric Medicine (Family Medicine) Physician
- Hackensack, NJ
- NPI 1306121504
-
- General Practice Physician
- Roseland, NJ
- NPI 1417638990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574121600000",
"number": "1295371813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 SICOMAC AVE",
"city": "WYCKOFF",
"state": "NJ",
"postal_code": "074812159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 CENTER PL",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076661626",
"telephone_number": "201-805-5404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JENNIFER",
"middle_name": "JOY",
"credential": "APN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-19",
"last_updated": "2019-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NJ",
"license": "26NJ00964800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Teaneck, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.
- 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.