Individual provider Active NPI

Jennifer Umek, APN

  • Women's Health Nurse Practitioner
  • Willingboro, NJ
National Provider Identifier
1386970093
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
26NJ01342500 Issued in NJ
Practice address
200 Campbell Dr Ste 101
Willingboro, NJ 08046-1067
Phone
(609) 877-8777
NPI assigned
Oct 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN323434L PA
Women's Health Nurse Practitioner 363LW0102X 26NJ01342500 NJ Primary

Addresses

Primary practice location

200 Campbell Dr Ste 101
Willingboro, NJ 08046-1067

Mailing address

200 Campbell Dr Ste 101
Willingboro, NJ 08046-1067
Phone (609) 877-8777

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
I20221003000020 NJ Practitioner - Nurse Practitioner 9032595822 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN323434LPAMDRegistered Nurse
26NJ01342500NJMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Womens Health Group LLC CurrentSince Oct 1, 2022 Accepting new patients
Regional Women'S Health Group, LLC CurrentSince Oct 1, 2022 Accepting new patients

Locations

338 Belleville Tpke
Kearny, NJ 07032
Phone (201) 991-3838

188 Fries Mill Rd
Ste N1
Turnersville, NJ 08012
Phone (609) 261-7023

200 Campbell Dr
Ste 101
Willingboro, NJ 08046
Phone (609) 877-8777

Interoperability endpoints

  • Direct secure messaging: jennifer.umek.1@27010.direct.athenahealth.com

Organizations & group practices 3

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": "1256860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1386970093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CAMPBELL DR STE 101",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080461067",
            "telephone_number": "609-877-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CAMPBELL DR STE 101",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080461067",
            "telephone_number": "609-877-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMEK",
        "first_name": "JENNIFER",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-30",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN323434L",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NJ",
            "license": "26NJ01342500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willingboro, NJ

Sources for this page

Verify at the official NPI Registry.