Individual provider Active NPI

Janine Vallen, APN-C

  • Adult Health Nurse Practitioner
  • Camden, NJ
National Provider Identifier
1730481292
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00331400 Issued in NJ
Practice address
1601 Haddon Ave Ste C
Camden, NJ 08103-3109
Phone
(856) 796-3840
Fax
(856) 757-3519
NPI assigned
Dec 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00331400 NJ Primary
Registered Nurse 163W00000X 26NO10641000 NJ

Addresses

Primary practice location

1601 Haddon Ave Ste C
Camden, NJ 08103-3109

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 355-0340

Other practice location 1

63 Kresson Rd Ste 101B
Cherry Hill, NJ 08034-3200
Phone (856) 796-9370

Other practice location 2

1105 Laurel Oak Rd Ste 165C
Voorhees, NJ 08043-4312
Phone (856) 757-3840

Other identifiers 1

IdentifierTypeStateIssuer
0264482MedicaidNJ

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address jvallen109475@directvirtua.org
Direct Messaging Address jvallen109475@directvirtua.org
Direct Messaging Address jvallen109475@directvirtua.org

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
I20110708000178 NJ Practitioner - Nurse Practitioner 5698953990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.15 of 100Reported as group
Quality
62.28
Promoting interoperability
100
Improvement activities
40
Cost
74.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NO10641000NJMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Nov 1, 2020 Accepting new patients
Virtua Medical Group, PA CurrentSince Nov 1, 2020 Accepting new patients
Pulmonary and Sleep Associates of South Jersey, LLC PastSince Aug 11, 2024 Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

1601 Haddon Ave
Ste C
Camden, NJ 08103
Phone (856) 796-3840

1600 Haddon Ave
Camden, NJ 08103
Phone (609) 757-3500

1601 Haddon Ave
Camden, NJ 08103
Phone (856) 757-3700

63 Kresson Rd
Ste 106
Cherry Hill, NJ 08034
Phone (856) 796-3970

63 Kresson Rd
Ste 101B
Cherry Hill, NJ 08034
Phone (856) 796-9370

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

1105 Laurel Oak Rd
Ste 165C
Voorhees, NJ 08043
Phone (856) 247-2645

Interoperability endpoints

  • Direct secure messaging: jvallen109475@directvirtua.org

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1291334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1730481292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-355-0340",
            "fax_number": "856-355-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 HADDON AVE STE C",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081033109",
            "telephone_number": "856-796-3840",
            "fax_number": "856-757-3519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "63 Kresson Rd Ste 101B",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080343200",
            "country_code": "US",
            "telephone_number": "856-796-9370",
            "fax_number": "856-547-0362",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1105 Laurel Oak Rd Ste 165C",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080434312",
            "country_code": "US",
            "telephone_number": "856-757-3840",
            "fax_number": "856-757-3519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALLEN",
        "first_name": "JANINE",
        "credential": "APN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-03",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00331400",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NO10641000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0264482",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jvallen109475@directvirtua.org",
            "affiliation": "N",
            "address_1": "63 Kresson Rd Ste 101B",
            "city": "Cherry Hill",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080343200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jvallen109475@directvirtua.org",
            "affiliation": "N",
            "address_1": "1105 Laurel Oak Rd Ste 165C",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080434312",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jvallen109475@directvirtua.org",
            "affiliation": "N",
            "address_1": "1601 Haddon Ave Ste C",
            "city": "Camden",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "081033109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.