Active NPI
Cecilia W. David, ACNP
- Nurse Practitioner
- Somerset, NJ
National Provider Identifier
1497907117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 26NR07545100
- Practice address
- 100 Franklin Square Drive
Suite 201
Somerset, NJ 08873-4109 - Phone
- (908) 429-7799
- Fax
- (866) 611-9616
- NPI assigned
- Oct 13, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 26NR07545100 | NJ | Primary |
Addresses
Primary practice location
100 Franklin Square Drive
Suite 201
Somerset, NJ 08873-4109
Mailing address
100 Franklin Square Drive
Suite 201
Somerset, NJ 08873-4109
Phone (908) 429-7799
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 302960 | Other | NY | NEW YORK STATE LICENSE |
| 26NR07545100 | Other | NJ | RPN LICENSE |
| 26NN07545100 | Other | NJ | APN STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR07545100 | NJ | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1497907117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 FRANKLIN SQUARE DRIVE",
"address_2": "SUITE 201",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088734109",
"telephone_number": "908-429-7799",
"fax_number": "866-611-9616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 FRANKLIN SQUARE DRIVE",
"address_2": "SUITE 201",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088734109",
"telephone_number": "908-429-7799",
"fax_number": "866-611-9616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVID",
"first_name": "CECILIA",
"middle_name": "W.",
"name_prefix": "Ms.",
"credential": "ACNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-13",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "26NR07545100",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK STATE LICENSE",
"identifier": "302960",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RPN LICENSE",
"identifier": "26NR07545100",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APN STATE LICENSE",
"identifier": "26NN07545100",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Somerset, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.