Vanessa Coppola, APN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

26NJ00958000 Issued in NJ

Practice address

200 Closter Dock Rd FL 2
Closter, NJ 07624-1928

Phone

(201) 564-7521

Fax

(201) 621-6900

NPI assigned

Dec 27, 2019

Last updated

Dec 27, 2019By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• VPC Medspa 1 LLC

  dba Bare Aesthetic

  • Nurse Practitioner
  • Closter, NJ
  • NPI 1841813995
  NPD Authorized official

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

{
    "created_epoch": "1577404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577404800000",
    "number": "1881233666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CLOSTER DOCK RD FL 2",
            "city": "CLOSTER",
            "state": "NJ",
            "postal_code": "076241928",
            "telephone_number": "201-564-7521",
            "fax_number": "201-621-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CLOSTER DOCK RD FL 2",
            "city": "CLOSTER",
            "state": "NJ",
            "postal_code": "076241928",
            "telephone_number": "201-564-7521",
            "fax_number": "201-621-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPPOLA",
        "first_name": "VANESSA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-27",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00958000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Closter Internal Medicine, P.C.
• Closter Medical Group, PA
• Closter Pharmacy Inc (Closter Pharmacy)
• CNC Chiropractic P.C
• Diane Cohen
• Cor Group
• Cor Support LLC
• Alfa Rose Y Coronado, PT
• Michael D'Ercole Jr.
• Debbie Kim

• Nurse Practitioner in Closter, NJ
• Providers in Closter, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; 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.