Active NPI
Jacqueline Rose Elmo
- Gerontology Nurse Practitioner
- Woodbridge, NJ
National Provider Identifier
1891601449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 26NJ15636100
- Practice address
- 219 Regency PL
Woodbridge, NJ 07095-1031 - Phone
- (732) 977-2892
- NPI assigned
- Aug 24, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 26NJ15636100 | NJ | Primary |
Addresses
Primary practice location
219 Regency PL
Woodbridge, NJ 07095-1031
Mailing address
219 Regency PL
Woodbridge, NJ 07095-1031
Phone (732) 977-2892
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1891601449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 REGENCY PL",
"city": "WOODBRIDGE",
"state": "NJ",
"postal_code": "070951031",
"telephone_number": "732-977-2892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 REGENCY PL",
"city": "WOODBRIDGE",
"state": "NJ",
"postal_code": "070951031",
"telephone_number": "732-977-2892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELMO",
"first_name": "JACQUELINE",
"middle_name": "ROSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-24",
"last_updated": "2026-08-24",
"certification_date": "2026-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NJ",
"license": "26NJ15636100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbridge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.