Individual provider Active NPI

Nontika Blango, MSN, APRN, A-GNP-C

  • Nurse Practitioner
  • Cherry Hill, NJ
National Provider Identifier
1376227587
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ14858800 Issued in NJ
Practice address
51 Haddonfield Rd
Cherry Hill, NJ 08002-4801
Phone
(856) 519-9200
NPI assigned
Jun 9, 2023
Last updated
Jun 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ14858800 NJ Primary

Addresses

Primary practice location

51 Haddonfield Rd
Cherry Hill, NJ 08002-4801

Mailing address

51 Haddonfield Rd
Cherry Hill, NJ 08002-4801
Phone (856) 519-9200

Other practice location 1

525 Route 73 N Ste 117
Marlton, NJ 08053-3422
Phone (609) 200-0444

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
I20230724002783 NJ Practitioner - Nurse Practitioner 2769842616 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ennoble HC NJ PCGroup PAC ID 0345638185, 129 clinicians

Practice addresses (Care Compare)

2 University PLZ
Suite 204
Hackensack, NJ 07601-6211
Phone (973) 241-1356

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ennoble HC NJ III PC CurrentSince Feb 9, 2026 Accepting new patients
Signify Health Medical Associates of New Jersey, LLC Nurse Practitioner CurrentSince Jul 13, 2023 Accepting new patients
Ennoble HC NJ PC CurrentSince Feb 9, 2026 Accepting new patients
Ennoble HC NJ II PC CurrentSince Feb 9, 2026 Accepting new patients

Locations

2 University Plz
Ste 204
Hackensack, NJ 07601
Phone (201) 564-0142

116 Village Blvd
Ste 200
Princeton, NJ 08540
Phone (609) 650-7800

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1686268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1376227587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 HADDONFIELD RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080024801",
            "telephone_number": "856-519-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 HADDONFIELD RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080024801",
            "telephone_number": "856-519-9200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 Route 73 N Ste 117",
            "address_purpose": "LOCATION",
            "city": "Marlton",
            "state": "NJ",
            "postal_code": "080533422",
            "country_code": "US",
            "telephone_number": "609-200-0444",
            "fax_number": "916-461-2332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANGO",
        "first_name": "NONTIKA",
        "credential": "MSN, APRN, A-GNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-09",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ14858800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.