April Jean Ientile, NURSE PRACTITIONER
Individual provider Active NPI Family Nurse Practitioner · Sandyston, NJ
NPI 1972245074 · NPPES record last updated May 17, 2022
Key facts
- NPI
- 1972245074
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 26NJ01296200 (NJ)
- Practice address
- 237 RT. 206
Sandyston, NJ 07826-4148 - Phone
- (973) 948-7595
- NPI assigned
- Apr 9, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220503000189 | NJ | Practitioner - Nurse Practitioner | 4981091493 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ01296200 | NJ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cunico Enterprises, Inc. | Single Specialty | Current |
Accepting new patients |
| Urgi-Med Family Medical Center | Single Specialty | Current |
Accepting new patients |
| North Jersey Integrated Medical PC | Family | Past | Accepting new patients |
Locations
12 Lawrence Rd
Ste 201
Newton, NJ 07860
Phone (973) 948-7595
400 Route 10 W
Ste 2
Randolph, NJ 07869
Phone (973) 891-1321
400 Route 10 W
Randolph, NJ 07869
Phone (973) 361-7174
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | 26NJ01296200 | NJ | Yes |
Addresses
Primary practice location
237 RT. 206
Sandyston, NJ 07826-4148
Mailing address
237 RT 206
Sandyston, NJ 07826-4148
Phone (973) 948-7595
Other providers in Sandyston, NJ
- Lauren Taylor Bath
- Brianna F Collinson Wamback
- Bonnie Hull
- Rick Klatt
- Lauren Taylord Health and Wellness LLC
- Ronald J Luszcz
- Rachel C Rembish
- Caitlin Shea
All providers in Sandyston, NJ · Family Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.