Nicolle A Tepedino, MSN, APN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NJ00045700 Issued in NJ

Practice address

6811 Fulton Ave
Ventnor City, NJ 08406-1015

Phone

(609) 402-8868

NPI assigned

Feb 1, 2007

Last updated

Jan 19, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23288/brand/1/csg/1/fhir/r4
• Direct secure messaging: nicolle.tepedino.1@24114.direct.athenahealth.com

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.

• Medical Service Professionals of NJ LLC

  dba Clover Home Care

  • Geriatric Medicine (Internal Medicine) Physician
  • Lyndhurst, NJ
  • NPI 1972044923
  Medicare reassignment NPD
• Advanced Gastroenterology of Northern NJ LLC

  • Multi-Specialty Clinic/Center
  • Ocean City, NJ
  • NPI 1821564634
  Medicare reassignment
• Infections Limited East, PC

  • Infectious Disease Physician
  • Linwood, NJ
  • NPI 1225093339
  NPD (past)

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1619015880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6811 FULTON AVE",
            "city": "VENTNOR CITY",
            "state": "NJ",
            "postal_code": "084061015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6811 FULTON AVE",
            "city": "VENTNOR CITY",
            "state": "NJ",
            "postal_code": "084061015",
            "telephone_number": "609-402-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEPEDINO",
        "first_name": "NICOLLE",
        "middle_name": "A",
        "credential": "MSN, APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00045700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sublux Enterprises, LLC (Atlantic Chiropractic Life Center)
• Surfside Recovery Services Inc.
• Sara Adly Tadros, D.C.
• Madeline P Tan, M.D.
• Lyndy M Tanimae, PA-C
• Therapy and Living Consultants, PC
• Peace Toleito
• Ventnor Board of Education
• Ventnor Educational Community Complex
• Ventnor Pediatrics Inc

• Adult Health Nurse Practitioner in Ventnor City, NJ
• Providers in Ventnor City, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.

Verify at the official NPI Registry.