Individual provider Active NPI

Janice M Beitz, APRN

  • Nurse Practitioner
  • Haddon Heights, NJ
National Provider Identifier
1497999601
Registry record updated May 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00156600 Issued in NJ
Practice address
120 White Horse Pike
Suite 103
Haddon Heights, NJ 08035-1927
Phone
(856) 546-3900
Fax
(856) 546-3908
NPI assigned
May 1, 2009
Last updated
May 4, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00156600 NJ Primary

Addresses

Primary practice location

120 White Horse Pike
Suite 103
Haddon Heights, NJ 08035-1927

Mailing address

500 Grove St
Suite 100
Haddon Heights, NJ 08035-1736
Phone (856) 546-3900

Other identifiers 1

IdentifierTypeStateIssuer
P00273000OtherNJCDS

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)
Enrolled
Credentials
Certified Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1241136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241395200000",
    "number": "1497999601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 GROVE ST",
            "address_2": "SUITE 100",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351736",
            "telephone_number": "856-546-3900",
            "fax_number": "856-546-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 WHITE HORSE PIKE",
            "address_2": "SUITE 103",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351927",
            "telephone_number": "856-546-3900",
            "fax_number": "856-546-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEITZ",
        "first_name": "JANICE",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-01",
        "last_updated": "2009-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00156600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS",
            "identifier": "P00273000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haddon Heights, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.