Active NPI
Mary Ellen Iapicco, APN,C
- Women's Health Nurse Practitioner
- Lakewood, NJ
National Provider Identifier
1740315282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 26NJ00124800
- Practice address
- 290 River Ave
Lakewood, NJ 08701-4810 - Phone
- (732) 364-9696
- Fax
- (732) 364-2225
- NPI assigned
- Feb 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 26NJ00124800 | NJ | Primary |
Addresses
Primary practice location
290 River Ave
Lakewood, NJ 08701-4810
Mailing address
290 River Ave
Lakewood, NJ 08701-4810
Phone (732) 364-9696
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00124800 | NJ | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Planning Center of Ocean County, Inc. | Past | 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 and National Provider Directory roles.
-
- Ambulatory Family Planning Facility
- Toms River, NJ
- NPI 1376684852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740315282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "290 RIVER AVE",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087014810",
"telephone_number": "732-364-9696",
"fax_number": "732-364-2225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 RIVER AVE",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087014810",
"telephone_number": "732-364-9696",
"fax_number": "732-364-2225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IAPICCO",
"first_name": "MARY ELLEN",
"credential": "APN,C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NJ",
"license": "26NJ00124800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, 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.