Healthcare Provider Details

I. General information

NPI: 1336195791
Provider Name (Legal Business Name): VISITING NURSE ASSOCIATION OF CENTRAL JERSEY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 12/02/2021
Certification Date: 12/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 MAIN ST STE D-1
HOLMDEL NJ
07733-2136
US

IV. Provider business mailing address

23 MAIN ST STE D-1
HOLMDEL NJ
07733-2136
US

V. Phone/Fax

Practice location:
  • Phone: 732-224-6914
  • Fax: 732-224-0843
Mailing address:
  • Phone: 732-224-6914
  • Fax: 732-224-0843

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number22634
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number24418
License Number StateNJ
# 4
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number24416
License Number StateNJ

VIII. Authorized Official

Name: MR. JOHN CHIAPPINELLI
Title or Position: CHIEF-LEGAL AFFAIRS
Credential:
Phone: 800-862-3330