MARY JO P VETTER RN APRN CS NPI 1538115084

NPI Information

NPI: 1538115084
Provider Name: MARY JO P VETTER, RN , APRN, CS
Classification: Registered Nurse - 163WG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
196 JEWETT AVE
JERSEY CITY, NJ
ZIP 07304
Phone: (201) 332-3354
Get Directions

Mary Jo P Vetter, RN , APRN, CS is a gerontology registered nurse in Jersey City, NJ. Mary Jo P Vetter, RN , APRN, CS NPI is 1538115084. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

196 JEWETT AVE
JERSEY CITY, NJ
ZIP 07304-804
Phone: (201) 332-3354
Fax: (201) 536-9047

The NPI 1538115084 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WG0600X	Registered Nurse	Gerontology		NEW JERSEY	Yes
2	363LA2200X	Nurse Practitioner	Adult Health		NEW JERSEY	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	014692	MEDICARE ID-TYPE UNSPECIFIED	NEW JERSEY
2	S61350	MEDICARE UPIN	NEW JERSEY
3	7414404	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »