Individual provider Active NPI

Vanessa Page, NP

  • Gerontology Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1932622115
Registry record updated Jul 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26NJ00745500 Issued in NJ
Practice address
9201 E Mountain View Rd Ste 220
Scottsdale, AZ 85258-5172
Phone
(480) 273-4001
Fax
(480) 907-2646
NPI assigned
Jul 19, 2017
Last updated
Jul 19, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2017

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 26NJ00745500 NJ Primary

Addresses

Primary practice location

9201 E Mountain View Rd Ste 220
Scottsdale, AZ 85258-5172

Mailing address

23117 148TH Ave Apt 2
Springfield Gardens, NY 11413-4201
Phone (617) 447-7590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180531000933 NJ Practitioner - Nurse Practitioner 0749545382 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barnabas Health Medical Group PCGroup PAC ID 9537316955, 1,027 clinicians

Practice addresses (Care Compare)

100 Hwy 36
Suite 1B
West Long Branch, NJ 07764-1453
Phone (732) 222-6046

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00745500NJMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers Health-RWJ Scleroderma Program CurrentSince Sep 28, 2022 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Mar 18, 2024 Accepting new patients
Rutgers Health-RWJ Scleroderma Program CurrentSince Sep 28, 2022 Accepting new patients
University Hospital CurrentSince Oct 5, 2021 Accepting new patients
University Hospital CurrentSince Oct 5, 2021 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Mar 18, 2024 Accepting new patients
Rutgers Health-RWJ Scleroderma Program Current Accepting new patients
Providential Medical Center PC CurrentSince Mar 8, 2021 Accepting new patients
Vitality NP Group LLC Gerontology PastSince Jun 1, 2018 Accepting new patients

Locations

355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

456 Chestnut St
Ste 102
Lakewood, NJ 08701
Phone (732) 282-7200

456 Chestnut St
Lakewood, NJ 08701
Phone (732) 222-1711

456 Chestnut St
Unit 302
Lakewood, NJ 08701
Phone (732) 523-5110

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

235 Millburn Ave
Ste 101
Millburn, NJ 07041
Phone (973) 376-8034

125 Paterson St
Ste 5100
New Brunswick, NJ 08901
Phone (732) 235-7060

125 Paterson St
Ste 6100
New Brunswick, NJ 08901
Phone (732) 235-6561

205 S Orange Ave
#B1425
Newark, NJ 07103
Phone (973) 972-3125

252 Broad St
Ste 1
Red Bank, NJ 07701
Phone (732) 747-6600

1140 Route 72 W
Stafford Township, NJ 08050
Phone (609) 978-2194

67 Route 37 W
Ste 2
Toms River, NJ 08755

67 Route 37 W
Fl 2
Toms River, NJ 08755
Phone (732) 281-3373

100 State Route 36
Ste 1B
West Long Branch, NJ 07764
Phone (732) 222-1711

Organizations & group practices 9

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500422400000",
    "number": "1932622115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23117 148TH AVE APT 2",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "114134201",
            "telephone_number": "617-447-7590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 E MOUNTAIN VIEW RD STE 220",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585172",
            "telephone_number": "480-273-4001",
            "fax_number": "480-907-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "VANESSA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-19",
        "last_updated": "2017-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ00745500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.