Provider Demographics
NPI:1336639004
Name:AQUINO, JANELLE M (MSN, RN, AGNP-C)
Entity Type:Individual
Prefix:MRS
First Name:JANELLE
Middle Name:M
Last Name:AQUINO
Suffix:
Gender:F
Credentials:MSN, RN, AGNP-C
Other - Prefix:MISS
Other - First Name:JANELLE
Other - Middle Name:M
Other - Last Name:ROMANDETTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:81 HENNING DR
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07004-1847
Mailing Address - Country:US
Mailing Address - Phone:201-704-4794
Mailing Address - Fax:
Practice Address - Street 1:350 ENGLE ST
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-1808
Practice Address - Country:US
Practice Address - Phone:201-894-5999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-17
Last Update Date:2018-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00823000363LX0001X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology