Ivana Skopelja, DNP, APN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

26NJ00973300 Issued in NJ

Practice address

7600 River Rd
North Bergen, NJ 07047-6217

Phone

(551) 247-6282

Fax

(201) 854-5797

NPI assigned

Oct 16, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575763200000",
    "number": "1992347348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 RIVER RD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070476217",
            "telephone_number": "201-854-5000",
            "fax_number": "201-854-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 RIVER RD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070476217",
            "telephone_number": "551-247-6282",
            "fax_number": "201-854-5797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOPELJA",
        "first_name": "IVANA",
        "name_prefix": "Dr.",
        "credential": "DNP, APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2019-12-08",
        "certification_date": "2019-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00973300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lidia Simeonova Simeonova, DDS
• Elizabeth Simon, D.O.
• Samundar Singh, MD
• Surji Diana Singh, RD
• Smrita Sinha, M.D.
• Michael James Skroce, D.M.D.
• Smile Dental Center of N.J., PA
• Bart Solazzo
• Nancy M Soliz, LPC, LCADC
• Kunchang Song, M.D.

• Nurse Practitioner in North Bergen, NJ
• Providers in North Bergen, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.