Janis T Matthai, CRNP
Individual provider Active NPI Family Nurse Practitioner · Somers Point,, NJ
NPI 1376538835 · NPPES record last updated Oct 19, 2012
Key facts
- NPI
- 1376538835
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 26NN07212300 (NJ)
- Practice address
- 1 E. New York Avenue
Penn Cardiology at Shore Memorial
Somers Point,, NJ 08244 - Phone
- (856) 216-0300
- Fax
- (609) 653-3960
- NPI assigned
- Sep 12, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NN072123 | NJ | MD | Family Nurse Practitioner |
| VP004288B | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shore Family Medicine Ass | Past | Accepting new patients | |
| Generations Family Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NN072123 | NJ | |
| Family Nurse Practitioner | 363LF0000X | 26NN07212300 | NJ | Yes |
| Family Nurse Practitioner | 363LF0000X | VP004288B | PA |
Addresses
Primary practice location
1 E. New York Avenue
Penn Cardiology at Shore Memorial
Somers Point,, NJ 08244
Mailing address
1 E. New York Avenue
Penn Cardiology at Shore Memorial
Somers Point, NJ 08244
Phone (856) 216-0300
Other names
- Janis S Town
Other providers in Somers Point,, NJ
- Olivia Marie Marinelli
- Ginamarie Masco
- Cynthia C Mason
- Lisa Leigh Mason
- Joseph F Masters
- Casey Ann Mauger
- David P May
- Roberta R May
- Peter Mazyk
- Wendy Marie McCann
All providers in Somers Point,, NJ · Family Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.