Individual provider Active NPI

Annette Marie Joubert, JOUBERT ANNETTE

  • Contractor
  • Whippany, NJ
National Provider Identifier
1477781276
Registry record updated Jun 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
26BT00012600 Issued in NJ
Practice address
11 Oak Glen PL
Whippany, NJ 07981-2028
Phone
(201) 213-2856
Fax
(973) 428-9431
NPI assigned
Jun 30, 2009
Last updated
Jun 30, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 26BT00012600 NJ Primary

Addresses

Primary practice location

11 Oak Glen PL
Whippany, NJ 07981-2028

Mailing address

11 Oak Glen PL
Whippany, NJ 07981-2028
Phone (201) 213-2856

Other names 1

  • Annette Marie Joubert-Mowen Other name

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

LicenseStateTypeSpecialty
26BT00012600NJMDContractor

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246320000000",
    "number": "1477781276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 OAK GLEN PL",
            "city": "WHIPPANY",
            "state": "NJ",
            "postal_code": "079812028",
            "telephone_number": "201-213-2856",
            "fax_number": "973-428-9431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 OAK GLEN PL",
            "city": "WHIPPANY",
            "state": "NJ",
            "postal_code": "079812028",
            "telephone_number": "201-213-2856",
            "fax_number": "973-428-9431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOUBERT",
        "first_name": "ANNETTE",
        "middle_name": "MARIE",
        "credential": "JOUBERT ANNETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NJ",
            "license": "26BT00012600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNETTE",
            "last_name": "JOUBERT-MOWEN",
            "middle_name": "MARIE",
            "credential": "JOUBERT ANNETTE NCMT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Whippany, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; 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.