Individual provider Active NPI

Barbara J Psolka, RN, DC, NP-C

  • Adult Health Nurse Practitioner
  • Jersey City, NJ
National Provider Identifier
1700854254
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00467300 Issued in NJ
Practice address
8 Jordan Ave
Jersey City, NJ 07306-3386
Phone
(201) 432-5744
Fax
(201) 432-2720
NPI assigned
Mar 10, 2006
Last updated
Nov 19, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2013

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHO5011 FL
Chiropractor 111N00000X 38MC00683700 NJ
Ambulatory Care Registered Nurse 163WP2201X 26NO06886900 NJ
Ambulatory Care Registered Nurse 163WP2201X RN1632542 FL
Adult Health Nurse Practitioner 363LA2200X 26NJ00467300 NJ Primary

Addresses

Primary practice location

8 Jordan Ave
Jersey City, NJ 07306-3386

Mailing address

572 Pascack Rd
Township of Washington, NJ 07676-4346
Phone (239) 537-9101

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
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
CHO5011FLMDChiropractor
38MC00683700NJMDChiropractor
RN1632542FLMDAmbulatory Care Registered Nurse
26NO06886900NJMDAmbulatory Care Registered Nurse
26NJ00467300NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Davis Acquisitions of Florida, LLC Chiropractor PastSince Oct 19, 2017 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384819200000",
    "number": "1700854254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 PASCACK RD",
            "city": "TOWNSHIP OF WASHINGTON",
            "state": "NJ",
            "postal_code": "076764346",
            "telephone_number": "239-537-9101",
            "fax_number": "201-664-1463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 JORDAN AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063386",
            "telephone_number": "201-432-5744",
            "fax_number": "201-432-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PSOLKA",
        "first_name": "BARBARA",
        "middle_name": "J",
        "credential": "RN, DC, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-10",
        "last_updated": "2013-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CHO5011",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00683700",
            "primary": false
        },
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "NJ",
            "license": "26NO06886900",
            "primary": false
        },
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "FL",
            "license": "RN1632542",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00467300",
            "primary": true
        }
    ],
    "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 Nov 19, 2013; 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.