Provider Demographics
NPI:1508601998
Name:TOMASSETTI, JOY (LPN)
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:
Last Name:TOMASSETTI
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 OAK AVE
Mailing Address - Street 2:
Mailing Address - City:LINWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08221-1724
Mailing Address - Country:US
Mailing Address - Phone:609-816-7722
Mailing Address - Fax:
Practice Address - Street 1:199 6TH AVE STE B2
Practice Address - Street 2:
Practice Address - City:MOUNT LAUREL
Practice Address - State:NJ
Practice Address - Zip Code:08054-9745
Practice Address - Country:US
Practice Address - Phone:856-288-3400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-27
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NP07697500163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse