Active NPI
Joni Lynn Prentice, NP
- Nurse Practitioner
- Neptune, NJ
National Provider Identifier
1669813390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 26NJ00466300
- Practice address
- 1945 Corlies Avenue
Neptune, NJ 07753 - Phone
- (732) 775-5500
- NPI assigned
- Jul 10, 2013
- Last updated
- Jul 20, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 26NJ00466300 | NJ | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | A1209076 | NJ |
Addresses
Primary practice location
1945 Corlies Avenue
Neptune, NJ 07753
Mailing address
2113 First Ave
P.O. Bo 254
Allenwood, NJ 08720-7020
Phone (732) 330-2792
Other practice location 1
2113 First Ave
P.O. Bo 254
Allenwood, NJ 08720-7020
Phone (732) 330-2792
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 |
|---|---|---|---|---|
| I20181017002459 | NJ | Order and Referring Only - Nurse Practitioner | 3476805599 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00466300 | NJ | MD | Nurse Practitioner |
| A1209076 | NJ | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532044800000",
"number": "1669813390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2113 FIRST AVE",
"address_2": "P.O. BO 254",
"city": "ALLENWOOD",
"state": "NJ",
"postal_code": "087207020",
"telephone_number": "732-330-2792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1945 CORLIES AVENUE",
"city": "NEPTUNE",
"state": "NJ",
"postal_code": "07753",
"telephone_number": "732-775-5500"
}
],
"practiceLocations": [
{
"address_1": "2113 First Ave",
"address_2": "P.O. Bo 254",
"address_purpose": "LOCATION",
"city": "Allenwood",
"state": "NJ",
"postal_code": "087207020",
"country_code": "US",
"telephone_number": "732-330-2792",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRENTICE",
"first_name": "JONI",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-10",
"last_updated": "2018-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "26NJ00466300",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NJ",
"license": "A1209076",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Neptune, NJ
- Jessica Leigh Prati, DO
- Preferred Home Health Care & Nursing Services
- Preferred Home Healthcare & Nursing Services, Inc. (Care Options for Kids)
- Premier Health Group Limited Liability Company (Premier Health Group LLC)
- Premier Spine and Wellness, LLC
- Amanda Kay Preston, PA
- Kimberly Ann Principato, APN
- Jayne Young Propert, APN-RN, MSN
- Constance Victoria Protentis, PA-C
- Kathryn Prozzo, BCBA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.