Individual provider Active NPI

Theresa M Payesko, RN

  • Home Health Registered Nurse
  • Scotch Plains, NJ
National Provider Identifier
1376660928
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
26NO08847700 Issued in NJ
Practice address
1801 E 2ND St Lowr Level
Scotch Plains, NJ 07076-1749
Phone
(908) 322-8883
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
Yes

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
Home Health Registered Nurse 163WH0200X 26NO08847700 NJ Primary

Addresses

Primary practice location

1801 E 2ND St Lowr Level
Scotch Plains, NJ 07076-1749

Mailing address

39 Randolph Rd
Freehold, NJ 07728-1531
Phone (908) 896-4740

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NO08847700NJMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376660928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 RANDOLPH RD",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077281531",
            "telephone_number": "908-896-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 E 2ND ST LOWR LEVEL",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070761749",
            "telephone_number": "908-322-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYESKO",
        "first_name": "THERESA",
        "middle_name": "M",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NJ",
            "license": "26NO08847700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scotch Plains, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.