1023310877 NPI number — JENNIFER PISKADLO MSN, CRNP

Table of content: JENNIFER PISKADLO MSN, CRNP (NPI 1023310877)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023310877 NPI number — JENNIFER PISKADLO MSN, CRNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PISKADLO
Provider First Name:
JENNIFER
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MSN, CRNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1023310877
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/08/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
443 MANOR AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CRANFORD
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07016-2063
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
201-290-3765
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
36 MADISON AVE
Provider Second Line Business Practice Location Address:
DREW UNIVERSITY STUDENT HEALTH SERVICES
Provider Business Practice Location Address City Name:
MADISON
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07940-1434
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-408-3414
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/30/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  SP010921 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LF0000X , with the licence number: 26NJ00398400 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)