Active NPIIndividual providerSole proprietor

Jacqueline P Pontiveros, RN

Registered Nurse in Maplewood, New Jersey

NPI Number1447610043
Practice location
22 Marie Pl Unit 10, Maplewood, NJ 07040-3402
Fax
—
Last updated
February 25, 2016

Jacqueline Pascual Pontiveros is a Registered Nurse based in Maplewood, NJ. Jacqueline Pascual Pontiveros practices in Maplewood, NJ and has the professional credentials of RN. The NPI Number for Jacqueline Pascual Pontiveros is 1447610043 and holds a License No. 624212 (NY). The current practice location address for Jacqueline Pascual Pontiveros is 22 Marie Pl Unit 10, Maplewood, NJ 07040-3402 and can be reached out via phone at 917-680-7258.

Provider Profile Details

NPI Number
1447610043
Provider Name
Jacqueline Pascual Pontiveros
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
22 Marie Pl Unit 10, Maplewood, NJ 07040-3402
Phone Number
917-680-7258
Primary Taxonomy
Registered Nurse · 163W00000X
Sole Proprietor
Yes
Other Names
-- Jacqueline Louise Pascual Pontiveros, RN (Professional Name)
Provider Enumeration Date
February 25, 2016
Last Update Date
February 25, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
22 Marie Pl Unit 10
Maplewood, NJ 07040-3402
Zip
07040-3402
Phone Number
917-680-7258
Maplewood, NJ 07040Get directions →

Provider Business Mailing Address Details

Address
22 Marie Pl Unit 10
Maplewood, NJ 07040-3402
City
Maplewood
State
NJ
Zip
07040-3402
Phone Number
917-680-7258

License Information

License Number
624212
License State
NY
Taxonomy
Registered Nurse · 163W00000X · 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 Jacqueline P Pontiveros, RN?

The NPI number of Jacqueline P Pontiveros, RN is 1447610043. It was assigned on February 25, 2016 and is currently active in the NPPES registry.

What is the specialty of Jacqueline P Pontiveros, RN?

Jacqueline P Pontiveros, RN is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in NY under license number 624212.

Where does Jacqueline P Pontiveros, RN practice?

The practice location is 22 Marie Pl Unit 10, Maplewood, NJ 07040-3402. The office can be reached at 917-680-7258 (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 1447610043 directly on the NPPES registry website.

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