Individual provider Active NPI

Ma. Pauleen Villarosa, FNP-BC

  • Family Nurse Practitioner
  • Linwood, NJ
National Provider Identifier
1821408154
Registry record updated Apr 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00562000 Issued in NJ
Practice address
1201 New Rd # 171
Linwood, NJ 08221-1150
Phone
(609) 788-8265
Fax
(609) 651-4851
NPI assigned
May 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00562000 NJ Primary

Addresses

Primary practice location

1201 New Rd # 171
Linwood, NJ 08221-1150

Mailing address

13 Mechanic St
Cape May Court House, NJ 08210-4221
Phone (609) 465-8111

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
I20150702000038 NJ Practitioner - Nurse Practitioner 4587976675 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Advanced Practice Nurse

State licenses

LicenseStateTypeSpecialty
26NJ00562000NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Medconsultants LLC CurrentSince Jun 1, 2021 Accepting new patients

Locations

415 Chris Gaupp Dr
Ste C
Galloway, NJ 08205
Phone (609) 748-7574

1201 New Rd
Ste 171
Linwood, NJ 08221
Phone (609) 350-6780

6725 Ventnor Ave
Ste C
Ventnor City, NJ 08406
Phone (609) 350-6780

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.

NPI Registry JSON

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

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429056000000",
    "number": "1821408154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 MECHANIC ST",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082104221",
            "telephone_number": "609-465-8111",
            "fax_number": "609-651-4851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 NEW RD # 171",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211150",
            "telephone_number": "609-788-8265",
            "fax_number": "609-651-4851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAROSA",
        "first_name": "MA. PAULEEN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-08",
        "last_updated": "2015-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00562000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linwood, NJ

Sources for this page

Verify at the official NPI Registry.