Individual provider Active NPI

Justina Onimus

  • Family Nurse Practitioner
  • Vineland, NJ
National Provider Identifier
1306500350
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01221700 Issued in NJ
Practice address
2848 S Delsea Drive
Ste 3
Vineland, NJ 08360-0742
Phone
(856) 794-1003
Fax
(856) 794-9178
NPI assigned
Oct 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01221700 NJ Primary

Addresses

Primary practice location

2848 S Delsea Drive
Ste 3
Vineland, NJ 08360-0742

Mailing address

2848 S Delsea Drive
Ste 3
Vineland, NJ 08360-0742
Phone (856) 794-1003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arthritis & Rheumatology Associates of South Jersey PC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1306500350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2848 S DELSEA DRIVE",
            "address_2": "STE 3",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083600742",
            "telephone_number": "856-794-1003",
            "fax_number": "856-794-9178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2848 S DELSEA DRIVE",
            "address_2": "STE 3",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083600742",
            "telephone_number": "856-794-1003",
            "fax_number": "856-794-9178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONIMUS",
        "first_name": "JUSTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-26",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01221700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.