Healthcare Provider Details

I. General information

NPI: 1538543764
Provider Name (Legal Business Name): JENNA CRISTINE DELSORDO NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2015
Last Update Date: 07/16/2025
Certification Date: 07/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1945 STATE ROUTE 33
NEPTUNE NJ
07753-4859
US

IV. Provider business mailing address

200 SOMERSET ST
NEW BRUNSWICK NJ
08901-1942
US

V. Phone/Fax

Practice location:
  • Phone: 732-776-2342
  • Fax: 732-776-2344
Mailing address:
  • Phone: 888-244-5373
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2369278
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ15223300
License Number StateNJ
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number26NJ15223300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: