Active NPI
Nancy L Tomaselli, CRNP
- Nurse Practitioner
- Lakewood, NJ
National Provider Identifier
1891897807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NN51836
- Practice address
- 360 RT 70
Shore Continenoe Center
Lakewood, NJ 08701 - Phone
- (732) 367-3050
- Fax
- (732) 341-5644
- NPI assigned
- Sep 1, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NN51836 | NJ | Primary |
Addresses
Primary practice location
360 RT 70
Shore Continenoe Center
Lakewood, NJ 08701
Mailing address
4 St Martins Rd
Cherry Hill, NJ 08002-1351
Phone (856) 662-2275
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NN51836 | NJ | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891897807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 ST MARTINS RD",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080021351",
"telephone_number": "856-662-2275",
"fax_number": "856-662-2275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 RT 70",
"address_2": "SHORE CONTINENOE CENTER",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "08701",
"telephone_number": "732-367-3050",
"fax_number": "732-341-5644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMASELLI",
"first_name": "NANCY",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "NN51836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.