Janis Desrosiers

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

26NR15611100 Issued in NJ

Practice address

2106 New Rd Ste F2
Linwood, NJ 08221-1053

Phone

(609) 699-5750

Fax

(609) 699-5752

NPI assigned

May 16, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• 100 Percent Healthcare LLC

  • Internal Medicine Physician
  • Linwood, NJ
  • NPI 1023820370
  Medicare reassignment NPD

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

{
    "created_epoch": "1747353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1295526242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 NEW RD STE F2",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211053",
            "telephone_number": "609-699-5750",
            "fax_number": "609-699-5752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 NEW RD STE F2",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211053",
            "telephone_number": "609-699-5750",
            "fax_number": "609-699-5752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESROSIERS",
        "first_name": "JANIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-16",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NR15611100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delta Community Supports, Inc.
• Christopher Joseph Depolis Jr., D.C.
• Dermatologix, Inc
• Joseph T Derosa, PT
• Robert Vincent Desilverio Jr., MD
• Christopher Paul Dewees
• Shannon Dickson, OTR
• Edward Bruner Dilks, R.R.T.
• Richard A. Domsky, MD
• Cretude Dorcius, APN

• Gerontology Nurse Practitioner in Linwood, NJ
• Providers in Linwood, NJ by specialty
• Gerontology Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; 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.