Provider Demographics
NPI:1053440586
Name:JACQUELINE A. LOWENSTEINER LLC
Entity Type:Organization
Organization Name:JACQUELINE A. LOWENSTEINER LLC
Other - Org Name:JACQUELINE A. LOWENSTEINER LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOWENSTEINER
Authorized Official - Suffix:
Authorized Official - Credentials:CNS, APRN
Authorized Official - Phone:908-879-7733
Mailing Address - Street 1:4 SPINELLO LN
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:NJ
Mailing Address - Zip Code:07930-2314
Mailing Address - Country:US
Mailing Address - Phone:908-879-7733
Mailing Address - Fax:908-879-7733
Practice Address - Street 1:4 SPINELLO LN
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:NJ
Practice Address - Zip Code:07930-2314
Practice Address - Country:US
Practice Address - Phone:908-879-7733
Practice Address - Fax:908-879-7733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2010-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NCO5504500364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJL0960073Medicare PIN