Active NPI
Paul Jerrel G. Jose
- Registered Nurse
- Carlstadt, NJ
National Provider Identifier
1407707540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- N23181
- Practice address
- 564 Division Ave
Carlstadt, NJ 07072-1432 - Phone
- (551) 287-9599
- NPI assigned
- Feb 5, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | N23181 | NY | Primary |
Addresses
Primary practice location
564 Division Ave
Carlstadt, NJ 07072-1432
Mailing address
564 Division Ave
Carlstadt, NJ 07072-1432
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N23181 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770595200000",
"number": "1407707540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "564 DIVISION AVE",
"city": "CARLSTADT",
"state": "NJ",
"postal_code": "070721432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "564 DIVISION AVE",
"city": "CARLSTADT",
"state": "NJ",
"postal_code": "070721432",
"telephone_number": "551-287-9599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSE",
"first_name": "PAUL JERREL",
"middle_name": "G.",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2026-02-05",
"last_updated": "2026-02-09",
"certification_date": "2026-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "N23181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carlstadt, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.