Individual provider Active NPI

Jacqueline Rose Elmo

  • Gerontology Nurse Practitioner
  • Woodbridge, NJ
National Provider Identifier
1891601449
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26NJ15636100 Issued in NJ
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

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.