MARY JO P VETTER (NPI# 1538115084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538115084 |
| Entity Type | Individual |
| Full Name | MARY JO P VETTER |
| Credential | RN , APRN, CS |
| Practice Address |
196 Jewett Ave Jersey City NJ 07304-1804 |
| Mailing Address |
Po Box 729 Tenafly NJ 07670-0729 |
| Practice Telephone | 2013323354 |
| Practice Fax Number | 2015369047 |
| Mailing Telephone | 2013323354 |
| Mailing Fax Number | 2015369047 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 163WG0600X |
Registered Nurse Specialization: Gerontology |
NJ | Nursing Service Providers | |
| X | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
NJ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 7414404 | 05 |
| Street Address |
196 JEWETT AVE |
| City | JERSEY CITY |
| State | NJ |
| Zip Code | 07304-1804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073563284 | Sherri Boseski | Nurse Practitioner | 196 Jewett Ave, Jersey City, NJ 07304-1804 | 2006-05-10 |
| 1578740692 | Michelle Reisner Md, LLC | Internal Medicine | 196 Jewett Ave, Jersey City, NJ 07304-1804 | 2008-01-31 |
| 1033305578 | Angelo C Mabasa | Nurse Practitioner | 196 Jewett Ave, Jersey City, NJ 07304-1804 | 2007-09-19 |
| 1669671046 | Bernedette Branch Schicho | Registered Nurse | 196 Jewett Ave, Jersey City, NJ 07304-1804 | 2007-07-16 |
| 1053366948 | Michelle Reisner, M.d., L.L.C. | Internal Medicine | 196 Jewett Ave, Jersey City, NJ 07304-1804 | 2006-05-23 |
| 1780638940 | Community Housecall Physicians | Nurse Practitioner | 196 Jewett Ave, Jersey City, NJ 07304-1804 | 2006-05-20 |
| 1134170673 | Nancy Reyes | Nurse Practitioner | 196 Jewett Ave, Jersey City, NJ 07304-1804 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790324085 | Marlon Q Lopez | Physical Therapist | 438 West Avenue, Virginia Cor Ege, Jersey, NJ 07304 | 2020-01-03 |
| 1033621842 | Dipty Mali | Physical Therapist | 520 Bergen Avenue, Jersey City, NJ 07304 | 2017-11-02 |
| 1861914434 | Eulalia Rivera | Licensed Practical Nurse | 140 Boyd Ave, Jersey City, NJ 07304 | 2017-07-14 |
| 1336509223 | Hyojin Park | Student in an Organized Health Care Education/Training Program | 935 Garfield Avenue, Metropolitan Family Health Network, Inc. - Jersey City, Jersey City, NJ 07304 | 2016-03-04 |
| 1962878413 | Hudson Milestones | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13-15 Miller Street, Jersey City, NJ 07304 | 2015-08-19 |
| 1336515881 | Hudson Milestones | Day Training, Developmentally Disabled Services | 355 Clendenny Avenue, Jersey City, NJ 07304 | 2015-08-19 |
| 1922482025 | Cosmo Pharmacy LLC | Pharmacy | 402 Pacific Avenue, Jersey City, NJ 07304 | 2015-07-17 |
| 1033513171 | Walgreens | Health Maintenance Organization | 2395 John Kennedy Blvd, Jersey City, NJ 07304 | 2014-10-17 |
| 1427460138 | Medical Claims Adjustment Pros | Spec/Tech, Health Info | 79 Jewett Avenue Ste 2, Jersey City, NJ 07304 | 2014-05-29 |
| 1801133103 | Hoboken Holistic Physical Therapy and Sports Medicine LLC | Acupuncturist | 701 State Route 440 Suite 21, Jersey City, NJ 07304 | 2013-01-08 |
| Find all providers in zip 07304 | ||||
| Taxonomy Code | 163WG0600X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382242 | Emee M. Enriquez | Registered Nurse | 169 Princeton Rd, Parlin, NJ 08859-1277 | 2020-09-28 |
| 1730743741 | Donna Marie Wilson | Registered Nurse | 17 Cedar Ct, Lakewood, NJ 08701-5002 | 2019-04-24 |
| 1760904700 | Angella Peart | Registered Nurse | 1500 Westminster Dr Apt B, Union, NJ 07083-4765 | 2017-07-12 |
| 1548544638 | Rosita Dawara | Registered Nurse | 32 Harrogate Dr, Lumberton, NJ 08048-5000 | 2011-10-06 |
| 1689819575 | Stephanie M Lance | Registered Nurse | 22 Grace Dr, Old Bridge, NJ 08857-2516 | 2008-12-08 |
| 1235231804 | Erlinda G Soriano | Registered Nurse | 1090 Trafalgar St, Teaneck, NJ 07666-1928 | 2006-09-02 |
| 1508829540 | Deborah Marie Pontoriero | Registered Nurse | 2106 New Rd Ste D4, Linwood, NJ 08221-1050 | 2006-04-10 |
| 1982248894 | Ronda Sami Mahmoud | Registered Nurse | 1414 Main Ave, Clifton, NJ 07011-2157 | 2019-11-04 |
| 1952897829 | Jancy Civichan | Registered Nurse | 258 N New Rd, Pleasantville, NJ 08232 | 2018-07-03 |
| 1538650502 | Darlene D Weckesser | Registered Nurse | 890 Bennetts Mills Rd, Jackson, NJ 08527-2736 | 2018-05-24 |
| Find all providers with the same taxonomy | ||||
| City | JERSEY CITY |
| Zip Code | 07304 |
Please comment or provide details below to improve the information on MARY JO P VETTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.