Provider Demographics
NPI:1164542791
Name:MOCERI, CYNTHIA (MSN, RN, APN-C)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:MOCERI
Suffix:
Gender:F
Credentials:MSN, RN, APN-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 DIAMOND HILL RD
Mailing Address - Street 2:
Mailing Address - City:BERKELEY HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:07922-2104
Mailing Address - Country:US
Mailing Address - Phone:908-273-4300
Mailing Address - Fax:
Practice Address - Street 1:243 ROUTE 130 STE 100
Practice Address - Street 2:
Practice Address - City:BORDENTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08505-2137
Practice Address - Country:US
Practice Address - Phone:877-388-2778
Practice Address - Fax:856-252-1100
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00123600163WC0200X
NJ26NO09702600363LA2100X
NJ26NO08702600363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0161080Medicaid
NJQ78640Medicare UPIN
NJ110384Medicare PIN