MEDICARE: NATHALIE DE JESUS DE JESUS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker		NY

General Provider Information

NPI Number	:	1801725593
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATHALIE DE JESUS DE JESUS

Provider Business Mailing Address
First Line	:	380 GARIBALDI AVE UNIT 2
Second Line	:
City	:	LODI
State	:	NJ
Zip	:	07644-3710
Country	:	US
Telephone Number	:	347-764-7697
Fax Number	:

Provider Business Practice Location Address
First Line	:	380 GARIBALDI AVE UNIT 2
Second Line	:
City	:	LODI
State	:	NJ
Zip	:	07644-3710
Country	:	US
Telephone Number	:	347-764-7697
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2026
Last Update Date	:	05/18/2026

Similar Medicare Providers

1427039379 — WELLCARE OF NEW JERSEY, INC.
Practice Location Address:

410 GARIBALDI AVE , UNIT B
LODI, NJ
07644-3710

Practice Phone: 973-777-3196
Practice Fax: 973-777-3195

1437144813 — MRS. BARBARA MARY PITOCCO MSW
Practice Location Address:

375 UNION ST
LODI, NJ
07644-3249

Practice Phone: 973-773-9486
Practice Fax: 973-472-2945

1225009954 — ADRIENNE VINCENZINO MD
Practice Location Address:

4 HUNTER ST STE 203
LODI, NJ
07644-1608

Practice Phone: 551-996-9100
Practice Fax: 551-996-9109

1215906102 — MRS. DEENA ANISA NATALE RD
Practice Location Address:

133 CHURCH ST
LODI, NJ
07644-3322

Practice Phone: 973-246-6730
Practice Fax: 373-246-6730

1790746097 — DR. VIJAY THAMMAN MD
Practice Location Address:

361 GARIBALDI AVE
LODI, NJ
07644-3709

Practice Phone: 973-773-3556
Practice Fax: 973-773-2337

1609837905 — DR. PREM THAMMAN MD
Practice Location Address:

361 GARIBALDI AVE
LODI, NJ
07644-3709

Practice Phone: 973-773-3556
Practice Fax: 973-773-2337

Directions to “ NATHALIE DE JESUS DE JESUS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.