Individual provider Active NPI

Jason John Nemcik

  • Student in an Organized Health Care Education/Training Program
  • Forked River, NJ
National Provider Identifier
1467369462
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
1288 Cypress St
Forked River, NJ 08731-4524
Phone
(732) 600-7990
NPI assigned
Aug 25, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X FL Primary

Addresses

Primary practice location

1288 Cypress St
Forked River, NJ 08731-4524

Mailing address

1288 Cypress St
Forked River, NJ 08731-4524
Phone (732) 600-7990

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1787616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1467369462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1288 CYPRESS ST",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087314524",
            "telephone_number": "732-600-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1288 CYPRESS ST",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087314524",
            "telephone_number": "732-600-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEMCIK",
        "first_name": "JASON",
        "middle_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-25",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forked River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.