Individual provider Active NPI

Jane C Dellert, PHD, RN, APN-C

  • Pediatric Nurse Practitioner
  • Fairfield, NJ
National Provider Identifier
1619975661
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
26NN04562900 Issued in NJ
Practice address
25 Hollywood Ave
Fairfield, NJ 07004-1113
Phone
(973) 882-0880
NPI assigned
Jul 13, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 26NN04562900 NJ Primary

Addresses

Primary practice location

25 Hollywood Ave
Fairfield, NJ 07004-1113

Mailing address

520 Upper Highland LKS Dr
Highland Lakes, NJ 07422-1617
Phone (973) 764-3568

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)
Not enrolled
Credentials
Doctor of Philosophy, Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NN04562900NJMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arthur J. Torre, MD, PC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1619975661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 UPPER HIGHLAND LKS DR",
            "city": "HIGHLAND LAKES",
            "state": "NJ",
            "postal_code": "074221617",
            "telephone_number": "973-764-3568",
            "fax_number": "973-764-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HOLLYWOOD AVE",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070041113",
            "telephone_number": "973-882-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLERT",
        "first_name": "JANE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PHD, RN, APN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "26NN04562900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.