Individual provider Active NPI

Vallie Ann Koren, RN

  • Medical-Surgical Registered Nurse
  • Neptune, NJ
National Provider Identifier
1902410574
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical-Surgical Registered NurseTaxonomy code 163WM0705X
License
26NR15651100 Issued in NJ
Practice address
2040 6TH Ave
Neptune, NJ 07753-6101
Phone
(732) 670-5855
NPI assigned
Sep 1, 2020
Last updated
Sep 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WM0705X 26NR15651100 NJ Primary

Addresses

Primary practice location

2040 6TH Ave
Neptune, NJ 07753-6101

Mailing address

17 Jersey St
Hazlet Township, NJ 07734-3041
Phone (732) 670-5855

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address VKoren@ctc.care Direct

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NR15651100NJMDMedical-Surgical Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Dove Hospice Services of Pennsylvania LLC Current Accepting new patients
Dove Hospice Services of New Jersey LLC Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: vkoren@ctc.care

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1902410574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 JERSEY ST",
            "city": "HAZLET TOWNSHIP",
            "state": "NJ",
            "postal_code": "077343041",
            "telephone_number": "732-670-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 6TH AVE",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077536101",
            "telephone_number": "732-670-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOREN",
        "first_name": "VALLIE",
        "middle_name": "ANN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "NJ",
            "license": "26NR15651100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VKoren@ctc.care",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "17 Jersey St",
            "city": "Hazlet Township",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077343041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.