Healthcare Provider Details

I. General information

NPI: 1639603384
Provider Name (Legal Business Name): ADA CONTRERAS APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2017
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3003 ENGLISH CREEK AVE STE C6
EGG HARBOR TOWNSHIP NJ
08234-4818
US

IV. Provider business mailing address

1 EXECUTIVE DR STE 400
MARLTON NJ
08053-4278
US

V. Phone/Fax

Practice location:
  • Phone: 609-481-3185
  • Fax: 609-569-0104
Mailing address:
  • Phone: 609-567-0200
  • Fax: 609-704-5615

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number26NJ00723000
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ00723000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: