Individual provider Active NPI

Jessica Mottola, PHARM.D.

  • Pharmacist
  • East Windsor, NJ
National Provider Identifier
1629396742
Registry record updated Nov 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI03295500 Issued in NJ
Practice address
70 Princeton Hightstown Rd
East Windsor, NJ 08520-1933
Phone
(609) 371-2362
Fax
(609) 336-3415
NPI assigned
May 13, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI03295500 NJ Primary

Addresses

Primary practice location

70 Princeton Hightstown Rd
East Windsor, NJ 08520-1933

Mailing address

70 Princeton Hightstown Rd
East Windsor, NJ 08520-1933
Phone (609) 371-2362

Other practice location 1

2331 Route 66
Ocean, NJ 07712-3961
Phone (732) 918-7812

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL N/a

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 Pharmacy

State licenses

LicenseStateTypeSpecialty
28RI03295500NJMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605916800000",
    "number": "1629396742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 PRINCETON HIGHTSTOWN RD",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085201933",
            "telephone_number": "609-371-2362",
            "fax_number": "609-336-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 PRINCETON HIGHTSTOWN RD",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085201933",
            "telephone_number": "609-371-2362",
            "fax_number": "609-336-3415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2331 Route 66",
            "address_purpose": "LOCATION",
            "city": "Ocean",
            "state": "NJ",
            "postal_code": "077123961",
            "country_code": "US",
            "telephone_number": "732-918-7812",
            "fax_number": "732-918-7812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOTTOLA",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-13",
        "last_updated": "2020-11-21",
        "certification_date": "2020-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03295500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/a",
            "affiliation": "N",
            "address_1": "70 Princeton Hightstown Rd",
            "city": "East Windsor",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "085201933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Windsor, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.

Verify at the official NPI Registry.