Northeastern Professional Nurses Registry Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HP0209300 Issued in NJ

Legal business name

NORTHEASTERN PROFESSIONAL NURSES REGISTRY INC

Practice address

134 Evergreen PL Ste 504
East Orange, NJ 07018-2011

Phone

(973) 673-6336

Fax

(973) 673-6607

NPI assigned

May 9, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Carlotta Hall, RN

Title

Owner

Phone

(973) 673-6336

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972717270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 EVERGREEN PL STE 504",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182011",
            "telephone_number": "973-673-6336",
            "fax_number": "973-673-6607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 EVERGREEN PL STE 504",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182011",
            "telephone_number": "973-673-6336",
            "fax_number": "973-673-6607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEASTERN PROFESSIONAL NURSES REGISTRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "CARLOTTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-673-6336",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "HP0209300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0096202",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.