Individual provider Active NPI

Jennifer A Lospinoso, ANP

  • Acute Care Nurse Practitioner
  • Pomona, NJ
National Provider Identifier
1396578258
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
26NJ15089300 Issued in NJ
Practice address
P O Box 907
208 W White Horse Pike
Pomona, NJ 08240-0907
Phone
(609) 652-2256
Fax
(609) 228-8301
NPI assigned
Aug 24, 2024
Last updated
Jan 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 26NJ15089300 NJ Primary

Addresses

Primary practice location

P O Box 907
208 W White Horse Pike
Pomona, NJ 08240-0907

Mailing address

P O Box 907
208 W White Horse Pike
Pomona, NJ 08240-0907
Phone (609) 652-2256

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
I20241226000031 NJ Practitioner - Nurse Practitioner 1052848447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Coastal Infectious Disease Consultants, LLCGroup PAC ID 5395924740, 8 clinicians

Practice addresses (Care Compare)

208 W Whitehorse Pike
Pomona, NJ 08240
Phone (609) 652-2256

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ15089300NJMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Infectious Disease Consultants, LLC CurrentSince Dec 1, 2024 Accepting new patients
Niranjan G Trivedi M D P C PastSince Aug 25, 2024 Accepting new patients

Locations

4 W Roosevelt Blvd
Ste 11
Marmora, NJ 08223
Phone (609) 814-9550

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1724457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1396578258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 907",
            "address_2": "208 W WHITE HORSE PIKE",
            "city": "POMONA",
            "state": "NJ",
            "postal_code": "082400907",
            "telephone_number": "609-652-2256",
            "fax_number": "609-228-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "P O BOX 907",
            "address_2": "208 W WHITE HORSE PIKE",
            "city": "POMONA",
            "state": "NJ",
            "postal_code": "082400907",
            "telephone_number": "609-652-2256",
            "fax_number": "609-228-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOSPINOSO",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-24",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "26NJ15089300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, NJ

Sources for this page

Verify at the official NPI Registry.