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
  • Specialization: Gerontology
  • Entity Type: Individual
  • Address: 196 JEWETT AVE
    JERSEY CITY, NJ
    ZIP 07304
  • Phone: (201) 332-3354

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NPI Details

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 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
1163WG0600XRegistered NurseGerontologyNEW JERSEYYes
2363LA2200XNurse PractitionerAdult HealthNEW JERSEYX

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 Other Provider Identifier Issuer
1014692MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY
2S61350MEDICARE UPINNEW JERSEY
37414404MEDICAIDNEW 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: 3/30/2025

NPI Synchronization or Removal

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