Jill Elizabeth Chisholm, NP

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

26NN11307300 Issued in NJ

Practice address

75 Claremont Rd Ste 308
Bernardsville, NJ 07924-2271

Phone

(908) 766-2800

Fax

(908) 517-3887

NPI assigned

Jul 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jill.chisholm@9191.chartlogic.direct-ci.com

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.

• Synergenomics, LLC

  • Women's Health Nurse Practitioner
  • Morristown, NJ
  • NPI 1285442160
  NPD

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1801096607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 CLAREMONT RD STE 308",
            "city": "BERNARDSVILLE",
            "state": "NJ",
            "postal_code": "079242271",
            "telephone_number": "908-766-2800",
            "fax_number": "908-517-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 CLAREMONT RD STE 308",
            "city": "BERNARDSVILLE",
            "state": "NJ",
            "postal_code": "079242271",
            "telephone_number": "908-766-2800",
            "fax_number": "908-517-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHISHOLM",
        "first_name": "JILL",
        "middle_name": "ELIZABETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-19",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "NJ",
            "license": "26NN11307300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori M Brand-Abend, MD
• Rosemary A Burnett, OTR/L
• Caitlin Elaine Celebre, M.A., CCC-SLP
• Julia Eve Cha Fong, M.A, LAC
• Anjali Chand, MD
• Maria Costea Misthos, MD
• Madison Costello, DMD
• Ellen Ruth Dahlquist, LCSW, CADC,LMFC
• Christopher Michael Dente, OD
• Salvatore Anthony Dirico, LCSW

• Obstetrics & Gynecology Nurse Practitioner in Bernardsville, NJ
• Providers in Bernardsville, NJ by specialty
• Obstetrics & Gynecology Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.