Active NPIIndividual provider

Jacqueline Van Gelderen, CRNA

Nurse Anesthetist, Certified Registered in Long Branch, New Jersey

NPI Number1528033248
Practice location
300 2ND Ave, Long Branch, NJ 07740-6303
Fax
—
Last updated
April 9, 2015

Jacqueline Van Gelderen is a Nurse Anesthetist, Certified Registered based in Long Branch, NJ. Jacqueline Van Gelderen practices in Long Branch, NJ and has the professional credentials of CRNA. The NPI Number for Jacqueline Van Gelderen is 1528033248 and holds a License No. 26NR03797500 (NJ). The current practice location address for Jacqueline Van Gelderen is 300 2ND Ave, Long Branch, NJ 07740-6303 and can be reached out via phone at 732-222-5200.

Provider Profile Details

NPI Number
1528033248
Provider Name
Jacqueline Van Gelderen
Credential
CRNA
Provider Entity Type
Individual
Gender
Female
Address
300 2ND Ave, Long Branch, NJ 07740-6303
Phone Number
732-222-5200
Primary Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Sole Proprietor
No
Provider Enumeration Date
February 17, 2006
Last Update Date
April 9, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
300 2ND Ave
Long Branch, NJ 07740-6303
Zip
07740-6303
Phone Number
732-222-5200
Long Branch, NJ 07740Get directions →

Provider Business Mailing Address Details

Address
3998 Fair Ridge Dr
Ste 300
Fairfax, VA 22033-2921
City
Fairfax
State
VA
Zip
22033-2921
Phone Number
703-293-9590
Fax Number
703-766-9725

License Information

License Number
26NR03797500
License State
NJ
Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X · 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 Van Gelderen, CRNA?

The NPI number of Jacqueline Van Gelderen, CRNA is 1528033248. It was assigned on February 17, 2006 and is currently active in the NPPES registry.

What is the specialty of Jacqueline Van Gelderen, CRNA?

Jacqueline Van Gelderen, CRNA is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in NJ under license number 26NR03797500.

Where does Jacqueline Van Gelderen, CRNA practice?

The practice location is 300 2ND Ave, Long Branch, NJ 07740-6303. The office can be reached at 732-222-5200 (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 1528033248 directly on the NPPES registry website.

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