Individual provider Active NPI

Michele Cole-Ferry, APN

  • Nurse Practitioner
  • Haddon Heights, NJ
National Provider Identifier
1720637622
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00956900 Issued in NJ
Practice address
210 W Atlantic Ave
Haddon Heights, NJ 08035-1770
Phone
(856) 546-3003
Fax
(856) 547-5337
NPI assigned
Sep 4, 2019
Last updated
Jan 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00956900 NJ Primary

Addresses

Primary practice location

210 W Atlantic Ave
Haddon Heights, NJ 08035-1770

Mailing address

120 White Horse Pike Ste 112
Haddon Heights, NJ 08035-1994
Phone (856) 546-3003

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

State licenses

LicenseStateTypeSpecialty
26NJ00956900NJMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1720637622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 WHITE HORSE PIKE STE 112",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351994",
            "telephone_number": "856-546-3003",
            "fax_number": "856-796-9183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W ATLANTIC AVE",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351770",
            "telephone_number": "856-546-3003",
            "fax_number": "856-547-5337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE-FERRY",
        "first_name": "MICHELE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00956900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haddon Heights, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; 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.