VA Health Care System

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

26NJ00444200 Issued in NJ

Legal business name

VA HEALTH CARE SYSTEM

Practice address

340 W Hanover Ave
Morristown, NJ 07960-2777

Phone

(973) 539-9791

NPI assigned

Jul 16, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Shirley Lacaden Pegollo, APN

Title

Nurse Practitioner

Phone

(973) 539-9791

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373932800000",
    "number": "1407297658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 PONDEROSA TRL",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078713229",
            "telephone_number": "973-539-9791",
            "fax_number": "973-539-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 W HANOVER AVE",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079602777",
            "telephone_number": "973-539-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VA HEALTH CARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-16",
        "last_updated": "2013-07-16",
        "status": "A",
        "authorized_official_last_name": "PEGOLLO",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "LACADEN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "973-539-9791",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "26NJ00444200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harjot Uppal, MD, MBA
• Seth Uretsky, M.D.
• Arielle Urman, MD
• Keith Stanley Usiskin, MD
• Pallavi S Utukuri, M.D.
• Shilp Vaghela, M.D.
• Breanna Nicole Valcarcel
• Cristina Valdez, ACNP-BC
• Kara Valeich, CCC-SLP
• Jorge Valverde, MD

• Primary Care Clinic/Center in Morristown, NJ
• Providers in Morristown, NJ by specialty
• Primary Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; 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.