Active NPI
Jacqueline Angotti, N.P.
- Adult Health Nurse Practitioner
- Somerville, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 26NN09599700
- Practice address
- 110 Rehill Ave
Somerville, NJ 08876-2519 - Phone
- (908) 685-2200
- NPI assigned
- Sep 15, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 26NN09599700 | NJ | Primary |
Addresses
Primary practice location
110 Rehill Ave
Somerville, NJ 08876-2519
Mailing address
110 Rehill Ave
Somerville, NJ 08876-2519
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110624000305 | NJ | Practitioner - Nurse Practitioner | 2163488578 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Capital Health Multispecialty Group
Practice addresses (Care Compare)
1 Capital Way
Pennington, NJ 08534-2520
Phone (609) 303-4000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NN09599700 | NJ | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barnabas Health Medical Group PC | Current | Accepting new patients | |
| Barnabas Health Medical Group PC | Current | Accepting new patients | |
| Capital Health Multispecialty Group | Current | Accepting new patients | |
| Washington Metropolitan Practice Plan | Past | Accepting new patients |
Locations
475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000
3131 Princeton Pike
Bldg 5
Lawrenceville, NJ 08648
Phone (609) 844-9661
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887
1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000
110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833
750 Brunswick Ave
Trenton, NJ 08638
Phone (609) 394-6000
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Hackensack, NJ
- NPI 1316772668
-
- Acute Care Nurse Practitioner
- Washington, DC
- NPI 1013989896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284508800000",
"number": "1669780417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 REHILL AVE",
"city": "SOMERVILLE",
"state": "NJ",
"postal_code": "088762519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 REHILL AVE",
"city": "SOMERVILLE",
"state": "NJ",
"postal_code": "088762519",
"telephone_number": "908-685-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGOTTI",
"first_name": "JACQUELINE",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-15",
"last_updated": "2010-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NJ",
"license": "26NN09599700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Somerville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.