Provider Demographics
NPI:1700294501
Name:NURSES OF NEW JERSEY LLC
Entity Type:Organization
Organization Name:NURSES OF NEW JERSEY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:CREADLE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:732-213-3834
Mailing Address - Street 1:30 MAIN ST STE 30-2
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-7458
Mailing Address - Country:US
Mailing Address - Phone:732-213-3834
Mailing Address - Fax:
Practice Address - Street 1:30 MAIN ST STE 30-2
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-7458
Practice Address - Country:US
Practice Address - Phone:732-213-3834
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-24
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHPO190600251E00000X
253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health