Jacquelynn Dorthea Coviel, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

26NP05152500 Issued in NJ

Practice address

406 S Washington Ave
Bergenfield, NJ 07621-4312

Phone

(201) 384-4447

NPI assigned

Sep 14, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Bergenfield, NJ
  • NPI 1619982501
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1508643255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 MOUNT PROSPECT AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071041530",
            "telephone_number": "908-404-7933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 S WASHINGTON AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076214312",
            "telephone_number": "201-384-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVIEL",
        "first_name": "JACQUELYNN",
        "middle_name": "DORTHEA",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-14",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NJ",
            "license": "26NP05152500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Connaughton, MPT, DPT
• Patricia Mary Connolly-Detura, R.N., C.N.M.
• Cornell Surgical Co
• Angela Corporan
• Christine Elizabeth Costa, M.D.
• Laurence Alfred Chua Crisostomo, R.N
• John Cruz
• Daniel B Popowitz DPM PC
• Batya Basia Danzer, LMSW
• Mukund Madhaw Das, MD

• Licensed Practical Nurse in Bergenfield, NJ
• Providers in Bergenfield, NJ by specialty
• Licensed Practical Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.