Active NPI
Hydrate Your Way
- Family Nurse Practitioner
- Newark, NJ
National Provider Identifier
1669225314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- HYDRATE YOUR WAY
- Practice address
- 10-12 Scott St Apt 2
Newark, NJ 07102-3493 - Phone
- (862) 902-3094
- NPI assigned
- Apr 10, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joy Shannon, APRN, FNP
- Title
- Owner/Ceo
- Phone
- (862) 902-3094
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Infusion Agency | 251F00000X | |||
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
10-12 Scott St Apt 2
Newark, NJ 07102-3493
Mailing address
10-12 Scott St Apt 2
Newark, NJ 07102-3493
Phone (862) 902-3094
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713484800000",
"number": "1669225314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10-12 SCOTT ST APT 2",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071023493",
"telephone_number": "862-902-3094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10-12 SCOTT ST APT 2",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071023493",
"telephone_number": "862-902-3094"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HYDRATE YOUR WAY",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-10",
"last_updated": "2024-04-19",
"certification_date": "2024-04-19",
"status": "A",
"authorized_official_last_name": "SHANNON",
"authorized_official_first_name": "JOY",
"authorized_official_title_or_position": "OWNER/CEO",
"authorized_official_telephone_number": "862-902-3094",
"authorized_official_credential": "APRN, FNP"
},
"taxonomies": [
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.