Jo-Ann S Dejean, DNP, APN,AGNP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

26NJ01060500 Issued in NJ

Practice address

66 Park St
Montclair, NJ 07042-5908

Phone

(973) 577-3010

NPI assigned

Jan 25, 2021

Last updated

Mar 3, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy.et0434.epichosted.com/APIProxyPRD/UHNJ/api/FHIR/R4

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.

• University Hospital

  • Acute Care Nurse Practitioner
  • Newark, NJ
  • NPI 1023266962
  Medicare reassignment NPD
• Cadoo Medical PC

  • Internal Medicine Physician
  • Montclair, NJ
  • NPI 1528626488
  NPD
• University Hospital

  • Community/Retail Pharmacy
  • Newark, NJ
  • NPI 1306596390
  NPD

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1801486725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 PARK ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070425908",
            "telephone_number": "973-577-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 PARK ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070425908",
            "telephone_number": "973-577-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJEAN",
        "first_name": "JO-ANN",
        "middle_name": "S",
        "credential": "DNP, APN,AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ01060500",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ01060500",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ01060500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nilla Defazio, PA-C
• Kelli Deflora, CD(DONA)
• Mathilde Battsek Degraff, PT, DPT,
• Gary Chris Degrande, M.D.
• Jillian Degroot
• Christine Del Guercio
• Kerry Adams Delaney, OTR/L
• Daniella Delgado Ginyard
• Peter Dellabella, M.D.
• Rochelle Delmas

• Primary Care Nurse Practitioner in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Primary Care Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.