Active NPI
Jessica A Kowalewski, MSN, RNC-OB, WHNP-BC
- Women's Health Nurse Practitioner
- Clifton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 26NJ00543100
- Practice address
- 1060 Clifton Ave
Clifton, NJ 07013-3638 - Phone
- (973) 826-4920
- NPI assigned
- Feb 15, 2016
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00543100 | NJ | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One Oak Medical Group, LLC | Current | Accepting new patients | |
| Valley Physician Services PC | Current | Accepting new patients | |
| One Oak Medical Group, LLC | Current | 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
- 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.