Organization Active NPI

Medijn Associates

Doing business as Remedi Medical Services

  • Adult Health Nurse Practitioner
  • Burlington, NJ
National Provider Identifier
1396021374
Registry record updated Oct 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
0600377600 Issued in NJ
Legal business name
MEDIJN ASSOCIATES
Doing business as
Remedi Medical Services
Practice address
73 Jennifer LN
Burlington, NJ 08016-1145
Phone
(609) 850-1989
NPI assigned
Oct 23, 2011
Last updated
Oct 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2011

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

Authorized official

Name
Mrs. Annetta Davis, CRNP
Title
CRNP
Phone
(609) 850-1989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 0600377600 NJ Primary

Addresses

Primary practice location

73 Jennifer LN
Burlington, NJ 08016-1145

Mailing address

PO Box 1873
Burlington, NJ 08016-7473
Phone (609) 850-1989

Other names 1

  • Remedi Medical Services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1319328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319328000000",
    "number": "1396021374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1873",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080167473",
            "telephone_number": "609-850-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 JENNIFER LN",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080161145",
            "telephone_number": "609-850-1989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIJN ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-23",
        "last_updated": "2011-10-23",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ANNETTA",
        "authorized_official_title_or_position": "CRNP",
        "authorized_official_telephone_number": "609-850-1989",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "0600377600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Remedi Medical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burlington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2011; 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.