Active NPIIndividual providerSole proprietor

Jennifer Demosthene, APN

Nurse Practitioner in Newark, New Jersey

NPI Number1013586171
Practice location
166 Lyons Ave, Newark, NJ 07112-2016
Fax
—
Last updated
May 7, 2026

Jennifer Demosthene is a Nurse Practitioner based in Newark, NJ. Jennifer Demosthene practices in Newark, NJ and has the professional credentials of APN. The NPI Number for Jennifer Demosthene is 1013586171 and holds a License No. 26NR20660900 (NJ). The current practice location address for Jennifer Demosthene is 166 Lyons Ave, Newark, NJ 07112-2016 and can be reached out via phone at 973-926-8491.

Provider Profile Details

NPI Number
1013586171
Provider Name
Jennifer Demosthene
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
166 Lyons Ave, Newark, NJ 07112-2016
Phone Number
973-926-8491
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 23, 2021
Last Update Date
May 7, 2026
Certification Date
May 7, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
166 Lyons Ave
Newark, NJ 07112-2016
City
Newark
Zip
07112-2016
Phone Number
973-926-8491
Newark, NJ 07112Get directions →

Provider Business Mailing Address Details

Address
166 Lyons Ave
Newark, NJ 07112-2016
City
Newark
State
NJ
Zip
07112-2016
Phone Number
973-926-8491

License Information

License Number (1)
26NR20660900
License State (1)
NJ
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
26NJ01359200
License State (2)
NJ
Taxonomy (2)
Nurse Practitioner · 363L00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jennifer Demosthene, APN?

The NPI number of Jennifer Demosthene, APN is 1013586171. It was assigned on June 23, 2021 and is currently active in the NPPES registry.

What is the specialty of Jennifer Demosthene, APN?

Jennifer Demosthene, APN is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in NJ under license number 26NR20660900.

Where does Jennifer Demosthene, APN practice?

The practice location is 166 Lyons Ave, Newark, NJ 07112-2016. The office can be reached at 973-926-8491 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013586171 directly on the NPPES registry website.

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