Individual provider Active NPI

Jessica A Kowalewski, MSN, RNC-OB, WHNP-BC

  • Women's Health Nurse Practitioner
  • Clifton, NJ
National Provider Identifier
1477912863
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
26NJ00543100 Issued in NJ
Practice address
1060 Clifton Ave
Clifton, NJ 07013-3638
Phone
(973) 826-4920
NPI assigned
Feb 15, 2016
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 26NJ00543100 NJ Primary

Addresses

Primary practice location

1060 Clifton Ave
Clifton, NJ 07013-3638

Mailing address

799 Bloomfield Ave Ste 301
Bloomfield, NJ 07044-1301
Phone (973) 500-2399

Other practice location 1

22 Sylvan St Ste 300
Rutherford, NJ 07070-2087
Phone (201) 438-3456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180713001904 NJ Practitioner - Nurse Practitioner 8325394810 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00543100NJMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
One Oak Medical Group, LLC CurrentSince Apr 29, 2018 Accepting new patients
Valley Physician Services PC CurrentSince Mar 2, 2025 Accepting new patients
One Oak Medical Group, LLC CurrentSince Apr 29, 2018 Accepting new patients

Locations

1578 Route 23
Ste 201
Wayne, NJ 07470
Phone (973) 709-0020

1578 Route 23
Ste 210
Wayne, NJ 07470

342 Hamburg Tpke
Ste 203
Wayne, NJ 07470
Phone (973) 333-4759

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/8a279096-6ad2-4c68-ac31-bf88e291604e/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1477912863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "799 BLOOMFIELD AVE STE 301",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070441301",
            "telephone_number": "973-500-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133638",
            "telephone_number": "973-826-4920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Sylvan St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Rutherford",
            "state": "NJ",
            "postal_code": "070702087",
            "country_code": "US",
            "telephone_number": "201-438-3456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOWALEWSKI",
        "first_name": "JESSICA",
        "middle_name": "A",
        "credential": "MSN, RNC-OB, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NJ",
            "license": "26NJ00543100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.