Provider Demographics
NPI:1336195791
Name:VISITING NURSE ASSOCIATION OF CENTRAL JERSEY, INC.
Entity Type:Organization
Organization Name:VISITING NURSE ASSOCIATION OF CENTRAL JERSEY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF-LEGAL AFFAIRS
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIAPPINELLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-862-3330
Mailing Address - Street 1:23 MAIN ST STE D-1
Mailing Address - Street 2:
Mailing Address - City:HOLMDEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07733-2136
Mailing Address - Country:US
Mailing Address - Phone:732-224-6914
Mailing Address - Fax:732-224-0843
Practice Address - Street 1:23 MAIN ST STE D-1
Practice Address - Street 2:
Practice Address - City:HOLMDEL
Practice Address - State:NJ
Practice Address - Zip Code:07733-2136
Practice Address - Country:US
Practice Address - Phone:732-224-6914
Practice Address - Fax:732-224-0843
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VISITING NURSE ASSOCIATION OF CENTRAL JERSEY, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-26
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207QG0300X
NJ22634251G00000X
NJ24418251G00000X
NJ24416251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Multi-Specialty
No251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3688437Medicaid
NJ3688437Medicaid
NJ311521Medicare Oscar/Certification