Provider Demographics
NPI:1891949913
Name:NJNP HEALTHCARE LLC
Entity Type:Organization
Organization Name:NJNP HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:FRANCESCO
Authorized Official - Suffix:
Authorized Official - Credentials:APN-C
Authorized Official - Phone:609-742-2961
Mailing Address - Street 1:199 NEW ROAD
Mailing Address - Street 2:SUITE 61
Mailing Address - City:LINWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08221-1375
Mailing Address - Country:US
Mailing Address - Phone:609-742-2961
Mailing Address - Fax:
Practice Address - Street 1:214 W JIM LEEDS RD
Practice Address - Street 2:
Practice Address - City:GALLOWAY
Practice Address - State:NJ
Practice Address - Zip Code:08205-9408
Practice Address - Country:US
Practice Address - Phone:609-748-9900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-17
Last Update Date:2008-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NNO6908400363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3365409Medicaid
NJ3365409Medicaid
NJ050973AW1Medicare PIN