Individual provider Active NPI

Jacquelene Vertus, APN

  • Gerontology Nurse Practitioner
  • Trenton, NJ
National Provider Identifier
1710511423
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26NR16373700 Issued in NJ
Practice address
750 Brunswick Ave
Trenton, NJ 08638-4143
Phone
(609) 394-6000
NPI assigned
Mar 3, 2020
Last updated
Mar 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 26NR16373700 NJ Primary

Addresses

Primary practice location

750 Brunswick Ave
Trenton, NJ 08638-4143

Mailing address

11 Cherryhill Rd
Milltown, NJ 08850-1309
Phone (201) 675-7200

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201019000279 NJ Practitioner - Nurse Practitioner 8921428665 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians
Ennoble HC NJ PCGroup PAC ID 0345638185, 129 clinicians

Practice addresses (Care Compare)

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5596

2 University PLZ
Suite 204
Hackensack, NJ 07601-6211
Phone (973) 241-1356

901 W Main St
Freehold, NJ 07728-2537

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NR16373700NJMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Post Acute Specialists, LLC CurrentSince Oct 19, 2022 Accepting new patients
Signify Health Medical Associates of New Jersey, LLC CurrentSince Jan 6, 2025 Accepting new patients
Practice Associates Medical Group CurrentSince Feb 21, 2025 Accepting new patients
Hospitalist Physicians of New Jersey PA CurrentSince Feb 12, 2022 Accepting new patients
Centrastate Cardiology PC Past Accepting new patients

Locations

65 James St
Edison, NJ 08820
Phone (732) 321-7010

901 W Main St
Ste 260
Freehold, NJ 07728
Phone (732) 685-9243

727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700

831 Tennent Rd
Manalapan, NJ 07726
Phone (732) 536-7144

831 Tennent Rd
Ste 1E
Manalapan, NJ 07726
Phone (732) 851-0200

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

465 South St
Ste 103
Morristown, NJ 07960
Phone (973) 971-7130

2 Hospital Plz
Ste 450
Old Bridge, NJ 08857
Phone (732) 416-6915

290 Red School Ln
Phillipsburg, NJ 08865
Phone (908) 859-2800

116 Village Blvd
Ste 200
Princeton, NJ 08540
Phone (609) 577-7802

3001 E Evesham Rd
Voorhees, NJ 08043
Phone (856) 751-1600

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

9825 S Jordan Gtwy
Sandy, UT 84070

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1710511423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CHERRYHILL RD",
            "city": "MILLTOWN",
            "state": "NJ",
            "postal_code": "088501309",
            "telephone_number": "201-675-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 BRUNSWICK AVE",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086384143",
            "telephone_number": "609-394-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERTUS",
        "first_name": "JACQUELENE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NR16373700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

Verify at the official NPI Registry.