Healthcare Provider Details

I. General information

NPI: 1891844569
Provider Name (Legal Business Name): JENINE N VECCHIO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/10/2007
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 HURFFVILLE CROSSKEYS RD STE 101
SEWELL NJ
08080-9340
US

IV. Provider business mailing address

405 HURFFVILLE CROSSKEYS RD STE 101
SEWELL NJ
08080-9340
US

V. Phone/Fax

Practice location:
  • Phone: 856-566-7070
  • Fax: 856-566-7872
Mailing address:
  • Phone: 856-566-7070
  • Fax: 856-566-7872

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberC1-0013189
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number25MA08036400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: