Active NPIIndividual providerSole proprietor

Jacquelyn Cantor, RN, CSW

Registered Nurse, Psych/Mental Health in Princeton, New Jersey

NPI Number1104223254
Practice location
12 Roszel RD, Suite A103, Princeton, NJ 08540-6234
Fax
609-419-0126
Last updated
December 4, 2014

Jacquelyn Cantor is a Registered Nurse, Psych/Mental Health based in Princeton, NJ. Jacquelyn Cantor practices in Princeton, NJ and has the professional credentials of RN, CSW. The NPI Number for Jacquelyn Cantor is 1104223254 and holds a License No. 44SW01073100 (NJ). The current practice location address for Jacquelyn Cantor is 12 Roszel RD, Suite A103, Princeton, NJ 08540-6234 and can be reached out via phone at 609-419-0126 and via fax at 609-419-0126.

Provider Profile Details

NPI Number
1104223254
Provider Name
Jacquelyn Cantor
Credential
RN, CSW
Provider Entity Type
Individual
Gender
Female
Address
12 Roszel RD, Suite A103, Princeton, NJ 08540-6234
Phone Number
609-419-0126
Fax Number
609-419-0126
Primary Taxonomy
Registered Nurse, Psych/Mental Health · 163WP0808X
Sole Proprietor
Yes
Provider Enumeration Date
December 4, 2014
Last Update Date
December 4, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
12 Roszel RD
Suite A103
Princeton, NJ 08540-6234
Zip
08540-6234
Phone Number
609-419-0126
Fax Number
609-419-0126
Princeton, NJ 08540Get directions →

Provider Business Mailing Address Details

Address
12 Roszel RD
Suite A103
Princeton, NJ 08540-6234
City
Princeton
State
NJ
Zip
08540-6234
Phone Number
609-419-0126
Fax Number
609-419-0126

License Information

License Number (1)
44SW01073100
License State (1)
NJ
Taxonomy (1)
Social Worker · 104100000X
License Number (2)
26NR08486500
License State (2)
NJ
Taxonomy (2)
Registered Nurse, Psych/Mental Health · 163WP0808X · Primary
License Number (3)
269645-1
License State (3)
NY
Taxonomy (3)
Registered Nurse, Psych/Mental Health · 163WP0808X

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 Jacquelyn Cantor, RN, CSW?

The NPI number of Jacquelyn Cantor, RN, CSW is 1104223254. It was assigned on December 4, 2014 and is currently active in the NPPES registry.

What is the specialty of Jacquelyn Cantor, RN, CSW?

Jacquelyn Cantor, RN, CSW is registered under the primary taxonomy Registered Nurse, Psych/Mental Health (code 163WP0808X), licensed in NJ under license number 44SW01073100.

Where does Jacquelyn Cantor, RN, CSW practice?

The practice location is 12 Roszel RD, Suite A103, Princeton, NJ 08540-6234. The office can be reached at 609-419-0126 (phone) or 609-419-0126 (fax).

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 1104223254 directly on the NPPES registry website.

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