Individual provider Active NPI

Ardly Pierre Jerome, RN, BSN

  • Psychiatric/Mental Health Registered Nurse
  • Oakhurst, NJ
National Provider Identifier
1407538945
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
26NR17655200 Issued in NJ
Practice address
1806 Hwy 35 Ste 205E
Oakhurst, NJ 07755-2759
Phone
(732) 610-4998
NPI assigned
Aug 3, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X 26NR22717700 NJ
Psychiatric/Mental Health Registered Nurse 163WP0808X 26NR17655200 NJ Primary

Addresses

Primary practice location

1806 Hwy 35 Ste 205E
Oakhurst, NJ 07755-2759

Mailing address

1806 Hwy 35 Ste 205E
Oakhurst, NJ 07755-2759
Phone (732) 610-4998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NR22717700NJMDMedical-Surgical Registered Nurse
26NR17655200NJMDPsychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1407538945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 HWY 35 STE 205E",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "077552759",
            "telephone_number": "732-610-4998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 HWY 35 STE 205E",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "077552759",
            "telephone_number": "732-610-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERRE JEROME",
        "first_name": "ARDLY",
        "credential": "RN, BSN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "NJ",
            "license": "26NR22717700",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NR17655200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakhurst, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.