Active NPI
Marjorie Louis-Jacques, FNP-BC
- Family Nurse Practitioner
- Freehold, NJ
National Provider Identifier
1770895906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 339159
- Practice address
- 15 Five Points Road
Freehold, NJ 07728 - Phone
- (732) 796-5795
- Fax
- (732) 796-5795
- NPI assigned
- Jul 2, 2010
- Last updated
- Feb 11, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 26NJ00275800 | NJ | |
| Family Nurse Practitioner | 363LF0000X | 26NJ00275800 | NJ | |
| Family Nurse Practitioner | 363LF0000X | 339159 | NY | Primary |
Addresses
Primary practice location
15 Five Points Road
Freehold, NJ 07728
Mailing address
15 Five Points Road
Freehold, NJ 07728
Phone (732) 796-5795
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00275800 | NJ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marjorie Louis-Jacques NP Family Health PC | Nurse Practitioner | Current | Accepting new patients |
| Suny Downstate Medical Center | Multi-Specialty | Past | Accepting new patients |
| LF Medical Services of Ny,PC | Multi-Specialty | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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-
- Internal Medicine Physician
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- NPI 1699916957
Multi-Specialty
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1699704155
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423612800000",
"number": "1770895906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 FIVE POINTS ROAD",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "07728",
"telephone_number": "732-796-5795",
"fax_number": "732-796-5795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 FIVE POINTS ROAD",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "07728",
"telephone_number": "732-796-5795",
"fax_number": "732-796-5795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOUIS-JACQUES",
"first_name": "MARJORIE",
"name_prefix": "Mrs.",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-02",
"last_updated": "2015-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "26NJ00275800",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ00275800",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "339159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Freehold, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.