Healthcare Provider Details

I. General information

NPI: 1417666249
Provider Name (Legal Business Name): JONNA KATHARINE BELL APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JONNA ROTHBART RN

II. Dates (important events)

Enumeration Date: 11/21/2022
Last Update Date: 12/11/2023
Certification Date: 12/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 ESSEX RD
PARAMUS NJ
07652-1451
US

IV. Provider business mailing address

45 CLINTON AVE
WESTWOOD NJ
07675-1908
US

V. Phone/Fax

Practice location:
  • Phone: 201-291-6131
  • Fax:
Mailing address:
  • Phone: 917-499-6176
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number26NR14997100
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number26NJ01464600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: