Individual provider Active NPI

Tiffany Jeanetta Rochon, LPN

  • Skilled Nursing Facility
  • Camden, NJ
National Provider Identifier
1992142491
Registry record updated May 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
26NP6754000 Issued in NJ
Practice address
1021 Princess Ave
Camden, NJ 08103-2748
Phone
(856) 203-4911
NPI assigned
May 24, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 26NP6754000 NJ Primary

Addresses

Primary practice location

1021 Princess Ave
Camden, NJ 08103-2748

Mailing address

1021 Princess Ave
Camden, NJ 08103-2748
Phone (856) 203-4911

Other identifiers 1

IdentifierTypeStateIssuer
26NP6754000OtherNJLPN LICENSE NUMBER

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

LicenseStateTypeSpecialty
26NP6754000NJMDSkilled Nursing Facility

NPI Registry JSON

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

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369353600000",
    "number": "1992142491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 PRINCESS AVE",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081032748",
            "telephone_number": "856-203-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 PRINCESS AVE",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081032748",
            "telephone_number": "856-203-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHON",
        "first_name": "TIFFANY",
        "middle_name": "JEANETTA",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-24",
        "last_updated": "2013-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "26NP6754000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPN LICENSE NUMBER",
            "identifier": "26NP6754000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.

Verify at the official NPI Registry.