1336234079 NPI number — MRS. JO ARLENE NUZZO APRN, MSN, CDE

Table of content: (NPI 1578818159)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336234079 NPI number — MRS. JO ARLENE NUZZO APRN, MSN, CDE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NUZZO
Provider First Name:
JO
Provider Middle Name:
ARLENE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
APRN, MSN, CDE
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:
1336234079
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/11/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
977 LAWRENCE AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WESTFIELD
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07090-3701
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
908-233-3681
Provider Business Mailing Address Fax Number:
908-233-5923

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
200 S ORANGE AVE
Provider Second Line Business Practice Location Address:
PEDIATRIC SPECIALTY CENTER - WEST BUILDING
Provider Business Practice Location Address City Name:
LIVINGSTON
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07039-5817
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-322-7220
Provider Business Practice Location Address Fax Number:
973-322-7253
Provider Enumeration Date:
10/04/2006

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: 163WP0200X , with the licence number:  26NO04054600 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 363LP0200X , with the licence number: 26NC04054600 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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





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