Individual provider Active NPI

Nancy Marie Hurley Pontes, DNSC, RN, APN-C, BC

  • Family Nurse Practitioner
  • Glassboro, NJ
National Provider Identifier
1710082722
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NN08369100 Issued in NJ
Practice address
201 Mullica Hill Rd
Linden Hall- Ru Student Health Services
Glassboro, NJ 08028-1700
Phone
(856) 256-4333
NPI assigned
Sep 14, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NN08369100 NJ Primary

Addresses

Primary practice location

201 Mullica Hill Rd
Linden Hall- Ru Student Health Services
Glassboro, NJ 08028-1700

Mailing address

106 S Marion Ave
Wenonah, NJ 08090-1925
Phone (856) 415-9162

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
26NN08369100NJMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710082722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 S MARION AVE",
            "city": "WENONAH",
            "state": "NJ",
            "postal_code": "080901925",
            "telephone_number": "856-415-9162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MULLICA HILL RD",
            "address_2": "LINDEN HALL- RU STUDENT HEALTH SERVICES",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080281700",
            "telephone_number": "856-256-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONTES",
        "first_name": "NANCY",
        "middle_name": "MARIE HURLEY",
        "name_prefix": "Dr.",
        "credential": "DNSC, RN, APN-C, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NN08369100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glassboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.