Individual provider Active NPI

Jeanine Moliterni, FNP

  • Family Nurse Practitioner
  • Staten Island, NY
National Provider Identifier
1306874664
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F333716 Issued in NY
Practice address
256C Mason Ave
Staten Island, NY 10305-3408
Phone
(718) 226-6231
Fax
(718) 226-6164
NPI assigned
Jun 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 F333716 NY Primary

Addresses

Primary practice location

256C Mason Ave
Staten Island, NY 10305-3408

Mailing address

9 Peter Ave
Staten Island, NY 10306-2831
Phone (718) 226-6231

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090317000081 NJ Practitioner - Nurse Practitioner 0143387233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jersey Shore Geriatrics IncGroup PAC ID 5597910133, 10 clinicians

Practice addresses (Care Compare)

100 Meridian PL
Howell, NJ 07731-4003
Phone (732) 719-0100

15 School Rd E
Suite 2
Marlboro, NJ 07746-2061
Phone (732) 866-9922

160 S Main St
Manor by the Sea
Ocean Grove, NJ 07756-1013
Phone (732) 481-8300

620 State Route 35
Middletown, NJ 07748-4224
Phone (732) 275-0790

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F333716NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jersey Shore Geriatrics Inc CurrentSince Jan 1, 2013 Accepting new patients
Jersey Shore Geriatrics LLC Past Accepting new patients

Locations

447 Matawan Ave
Cliffwood, NJ 07721
Phone (732) 267-7340

93 Manalapan Ave
Freehold, NJ 07728
Phone (732) 303-8800

188 State Route 34
Holmdel, NJ 07733
Phone (732) 946-3999

713 N Beers St
Holmdel, NJ 07733
Phone (732) 335-4405

100 Meridian Pl
Howell, NJ 07731
Phone (732) 677-1046

1400 Route 70
Lakewood, NJ 08701
Phone (732) 270-0444

734 Newman Springs Rd
Lincroft, NJ 07738
Phone (732) 212-1910

100 Craig Rd
Ste 205A
Manalapan, NJ 07726
Phone (732) 866-9922

455 US Highway 9
Manalapan, NJ 07726
Phone (732) 591-2200

3A S Main St
Marlboro, NJ 07746
Phone (732) 409-6665

15 School Rd E
Marlboro, NJ 07746
Phone (732) 625-2244

1515 Hulse Rd
Point Pleasant Boro, NJ 08742
Phone (732) 295-9300

69 Burton Ave
South River, NJ 08882
Phone (732) 235-8993

1126 Lakewood Rd
Toms River, NJ 08753
Phone (732) 290-2273

2600 Allaire Rd
Wall Township, NJ 07719
Phone (732) 282-1700

1725 Meridian Trl
Wall Township, NJ 07719
Phone (732) 312-1692

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

2621 State Route 138
Wall Township, NJ 07719
Phone (732) 556-1060

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306874664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 PETER AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062831",
            "telephone_number": "718-226-6231",
            "fax_number": "718-226-6164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256C MASON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053408",
            "telephone_number": "718-226-6231",
            "fax_number": "718-226-6164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLITERNI",
        "first_name": "JEANINE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F333716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.