Active NPI
Jonathan Creadle
- Home Health Agency
- Toms River, NJ
National Provider Identifier
1477961035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 30 Main St Ste 30-2
Toms River, NJ 08753-7458 - Phone
- (732) 213-3834
- NPI assigned
- Jul 28, 2014
- Last updated
- Jul 28, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
30 Main St Ste 30-2
Toms River, NJ 08753-7458
Mailing address
30 Main St Ste 30-2
Toms River, NJ 08753-7458
Phone (732) 213-3834
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nurses of New Jersey LLC | Home Health | Past | Accepting new patients |
Organizations & group practices 1
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": "1406505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406505600000",
"number": "1477961035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 MAIN ST STE 30-2",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087537458",
"telephone_number": "732-213-3834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 MAIN ST STE 30-2",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087537458",
"telephone_number": "732-213-3834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREADLE",
"first_name": "JONATHAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-28",
"last_updated": "2014-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toms River, NJ
- CPL (Bey Lea Village) LLC (Bey Lea Village Nursing and Rehabilitation Center)
- CPL Bey Lea LLC (Bey Lea Village Care Center)
- CR Medi Consult
- Brett R Crane Jr., MD
- Sandra Marie Crawford, MA CCC-SLP
- Joseph Creadle, REGISTERED NURSE
- Creative Care Therapy Services LLC
- Creative Healing Psychotherapy LLC
- Alexa Joan Crimeni, PA
- William T. Crimmins, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.