Active NPI
Interim Healthcare of South Jersey, Inc
- Nursing Care Agency
- Absecon, NJ
National Provider Identifier
1497979827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- HP0016205
- Legal business name
- INTERIM HEALTHCARE OF SOUTH JERSEY, INC
- Practice address
- 76 W Jimmie Lees Road
Absecon, NJ 08201 - Phone
- (609) 748-9766
- Fax
- (609) 748-9711
- NPI assigned
- Apr 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Jacqueline Bartorelli
- Title
- Vice President of Operations
- Phone
- (856) 354-2120
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | HP0016205 | NJ | Primary |
Addresses
Primary practice location
76 W Jimmie Lees Road
Absecon, NJ 08201
Mailing address
1873 Brunswick Avenue
Trenton, NJ 08638
Phone (609) 393-4545
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508923863 | Other | NPI NUMBER | |
| 0091910 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1497979827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1873 BRUNSWICK AVENUE",
"city": "TRENTON",
"state": "NJ",
"postal_code": "08638",
"telephone_number": "609-393-4545",
"fax_number": "609-989-8873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76 W JIMMIE LEES ROAD",
"city": "ABSECON",
"state": "NJ",
"postal_code": "08201",
"telephone_number": "609-748-9766",
"fax_number": "609-748-9711"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERIM HEALTHCARE OF SOUTH JERSEY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BARTORELLI",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
"authorized_official_telephone_number": "856-354-2120",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "NJ",
"license": "HP0016205",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI NUMBER",
"identifier": "1508923863",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0091910",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Absecon, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.