Individual provider Active NPI

Bernedette Branch Schicho, RN, MSN, APN-C

  • Adult Health Nurse Practitioner
  • Jersey City, NJ
National Provider Identifier
1669671046
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00129700 Issued in NJ
Practice address
196 Jewett Ave
Jersey City, NJ 07304-1804
Phone
(201) 332-3354
NPI assigned
Jul 16, 2007
Last updated
Jul 16, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00129700 NJ Primary
Registered Nurse 163W00000X 26NR08769200 NJ

Addresses

Primary practice location

196 Jewett Ave
Jersey City, NJ 07304-1804

Mailing address

PO Box 729
Tenafly, NJ 07670-0729
Phone (201) 714-2536

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)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NR08769200NJMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1669671046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 729",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076700729",
            "telephone_number": "201-714-2536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 JEWETT AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073041804",
            "telephone_number": "201-332-3354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHICHO",
        "first_name": "BERNEDETTE",
        "middle_name": "BRANCH",
        "credential": "RN, MSN, APN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-16",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00129700",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR08769200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.