Active NPIIndividual provider

Mrs. Jennifer R Dewilde, DC

Nurse Practitioner, Family in Mahwah, New Jersey

NPI Number1306905054
Practice location
65 Ramapo Valley RD Ste 102B, Mahwah, NJ 07430-1182
Fax
—
Last updated
January 13, 2026

Jennifer Ranee Dewilde is a Nurse Practitioner, Family based in Mahwah, NJ. Jennifer Ranee Dewilde practices in Mahwah, NJ and has the professional credentials of DC. The NPI Number for Jennifer Ranee Dewilde is 1306905054 and holds a License No. 038010352 (IL). The current practice location address for Jennifer Ranee Dewilde is 65 Ramapo Valley RD Ste 102B, Mahwah, NJ 07430-1182 and can be reached out via phone at 732-300-0833.

Provider Profile Details

NPI Number
1306905054
Provider Name
Jennifer Ranee Dewilde
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
65 Ramapo Valley RD Ste 102B, Mahwah, NJ 07430-1182
Phone Number
732-300-0833
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Other Names
Jennifer Ranee Dewilde, FNP (Professional Name)
Provider Enumeration Date
December 8, 2006
Last Update Date
January 13, 2026
Certification Date
January 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
65 Ramapo Valley RD Ste 102B
Mahwah, NJ 07430-1182
City
Mahwah
Zip
07430-1182
Phone Number
732-300-0833
Mahwah, NJ 07430Get directions →

Provider Business Mailing Address Details

Address
65 Ramapo Valley RD Ste 102B
Mahwah, NJ 07430-1182
City
Mahwah
State
NJ
Zip
07430-1182
Phone Number
732-300-0833

License Information

License Number (1)
038010352
License State (1)
IL
Taxonomy (1)
Chiropractor · 111N00000X
License Number (2)
F09231068
License State (2)
MO
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X · Primary
License Number (3)
53-82718-091
License State (3)
KS
Taxonomy (3)
Nurse Practitioner, Family · 363LF0000X

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 Mrs. Jennifer R Dewilde, DC?

The NPI number of Mrs. Jennifer R Dewilde, DC is 1306905054. It was assigned on December 8, 2006 and is currently active in the NPPES registry.

What is the specialty of Mrs. Jennifer R Dewilde, DC?

Mrs. Jennifer R Dewilde, DC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in IL under license number 038010352.

Where does Mrs. Jennifer R Dewilde, DC practice?

The practice location is 65 Ramapo Valley RD Ste 102B, Mahwah, NJ 07430-1182. The office can be reached at 732-300-0833 (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 1306905054 directly on the NPPES registry website.

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