Healthcare Provider Details

I. General information

NPI: 1336234079
Provider Name (Legal Business Name): JO ARLENE NUZZO APRN, MSN, CDE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 S ORANGE AVE PEDIATRIC SPECIALTY CENTER - WEST BUILDING
LIVINGSTON NJ
07039-5817
US

IV. Provider business mailing address

977 LAWRENCE AVE
WESTFIELD NJ
07090-3701
US

V. Phone/Fax

Practice location:
  • Phone: 973-322-7220
  • Fax: 973-322-7253
Mailing address:
  • Phone: 908-233-3681
  • Fax: 908-233-5923

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number26NC04054600
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number26NO04054600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: