Individual provider Active NPI

Jordyn Pontoriero, APN, FNP-C

  • Family Nurse Practitioner
  • Bordentown, NJ
National Provider Identifier
1386487239
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ15090700 Issued in NJ
Practice address
280 Dunns Mill Rd
Bordentown, NJ 08505-4748
Phone
(609) 301-6530
NPI assigned
Jun 18, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 26NJ15090700 NJ Primary

Addresses

Primary practice location

280 Dunns Mill Rd
Bordentown, NJ 08505-4748

Mailing address

280 Dunns Mill Rd
Bordentown, NJ 08505-4748

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240925001227 NJ Practitioner - Nurse Practitioner 7214478643 Reassigns benefits to 3 organizations
I20260327000640 PA Practitioner - Nurse Practitioner 7214478643 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

103 A Stockton St
Apt 3
Brooklyn, NY 11206-5722

1481 McDonald Ave
Brooklyn, NY 11230-4667

313 N Arthur Dr
Beverly, NJ 08010-2103

3626 Route 1 N
Princeton, NJ 08540-5922

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Live Urgent Care LLC Single Specialty CurrentSince Jul 14, 2024 Accepting new patients
Signify Health Medical Associates of New Jersey, LLC Single Specialty CurrentSince Feb 1, 2025 Accepting new patients

Locations

363 W Browning Rd
Unit A
Bellmawr, NJ 08031
Phone (856) 333-3616

280 Dunns Mill Rd
Bordentown, NJ 08505
Phone (609) 301-6530

800 Denow Rd
Pennington, NJ 08534
Phone (609) 737-8130

116 Village Blvd
Ste 200
Princeton, NJ 08540
Phone (609) 285-3094

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

Interoperability endpoints

  • Direct secure messaging: jordyn.pontoriero.1@23060.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1386487239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 DUNNS MILL RD",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085054748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 DUNNS MILL RD",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085054748",
            "telephone_number": "609-301-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONTORIERO",
        "first_name": "JORDYN",
        "name_prefix": "Mrs.",
        "credential": "APN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-06-18",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15090700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bordentown, NJ

Sources for this page

Verify at the official NPI Registry.