Active NPI
Nancy Pain, APN
- Adult Health Nurse Practitioner
- Jersey City, NJ
National Provider Identifier
1912240458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 26NJ00177600
- Practice address
- 355 Grand St
1St Floor
Jersey City, NJ 07302-4321 - Phone
- (201) 915-2058
- NPI assigned
- Apr 3, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 26NJ00177600 | NJ | Primary |
Addresses
Primary practice location
355 Grand St
1St Floor
Jersey City, NJ 07302-4321
Mailing address
355 Grand St
1St Floor
Jersey City, NJ 07302-4321
Phone (201) 915-2058
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00177600 | NJ | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364947200000",
"number": "1912240458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 GRAND ST",
"address_2": "1ST FLOOR",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073024321",
"telephone_number": "201-915-2058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 GRAND ST",
"address_2": "1ST FLOOR",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073024321",
"telephone_number": "201-915-2058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAIN",
"first_name": "NANCY",
"credential": "APN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-03",
"last_updated": "2013-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NJ",
"license": "26NJ00177600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jersey City, NJ
- Pain and Disability Institute, P.C.
- Pain and Disability Institute,PC
- Pain Management & Rejuvenation Clinic USA
- Pain Management Consulting Group
- Pain Management of New Jersey Inc
- Carol Pak-Teng, M.D.
- Gianfranco Palangio, ATC
- Bernardo Breon Paliguin, RN
- Palisade Ave Pharmacy LLC
- Palisade Eye Associates,P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.