DR. JILL MORTENSEN (NPI# 1609816511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609816511 |
| Entity Type | Individual |
| Full Name | DR. JILL MORTENSEN |
| Credential | D.O. |
| Practice Address |
1203 N High St Suite A Millville NJ 08332-2530 |
| Practice Telephone | 8563270182 |
| Practice Fax Number | 8563277381 |
| Mailing Telephone | 8563270182 |
| Mailing Fax Number | 8563277381 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2014-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
MB46459 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 3853900 | 05 |
| Street Address |
1203 N HIGH ST SUITE A |
| City | MILLVILLE |
| State | NJ |
| Zip Code | 08332-2530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720080203 | South Jersey Cardiology, P.C. | Internal Medicine | 1203 N High St, Unit B, Millville, NJ 08332-2530 | 2005-08-14 |
| 1154539252 | Carol E Shapiro | Pharmacist | 1203 N High St, Unit B, Millville, NJ 08332-2530 | 2007-05-20 |
| 1174689004 | Cumberland Family Medicine LLC | Family Medicine | 1203 N High St, Suite A, Millville, NJ 08332-2530 | 2006-12-28 |
| 1154362374 | Kate R. Thompson | Nurse Practitioner | 1203 N High St, Suite A, Millville, NJ 08332-2530 | 2006-06-09 |
| 1437199346 | Brian J Davis | Family Medicine | 1203 N High St, Suite A, Millville, NJ 08332-2530 | 2006-06-08 |
| 1952374589 | Jill K Tyler | Nurse Practitioner | 1203 N High St, Unit B, Millville, NJ 08332-2530 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285158956 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 26 N. Ladow Ave, Apt. #16b, Millville, NJ 08332 | 2017-08-03 |
| 1649794314 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 26 N. Ladow Ave., Apt. #8d, Millville, NJ 08332 | 2017-08-03 |
| 1639693302 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 26 N. Ladow Ave., Apt. 19k, Millville, NJ 08332 | 2017-08-03 |
| 1912421686 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 26 N. Ladow Ave., Apt. #15j, Millville, NJ 08332 | 2017-08-03 |
| 1720502495 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 26 N. Ladow Ave., Apt. #16f, Millville, NJ 08332 | 2017-08-03 |
| 1376067041 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 26 N. Ladow Ave., Apt. #21h, Millville, NJ 08332 | 2017-08-03 |
| 1932572989 | Caringhouse Projects, Inc | Respite Care | 1306 Farton Road, Millville, NJ 08332 | 2015-11-12 |
| 1467825778 | Caringhouse Projects, Inc | Respite Care | 403 Harrison Avenue, Millville, NJ 08332 | 2015-11-09 |
| 1528444734 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 207 Bogden Boulevard, Millville, NJ 08332 | 2015-08-11 |
| 1285028936 | Brooke Colleen Doyle | Chiropractor | 1014 N High St., Millville, NJ 08332 | 2015-03-20 |
| Find all providers in zip 08332 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538643150 | Gemini Health and Rehabilitation, LLC | Family Medicine | 51 Kinglet Dr S, Cranbury, NJ 08512-2133 | 2018-09-19 |
| 1962820365 | Kledia Blloshmi | Family Medicine | 435 South St Ste 390, Morristown, NJ 07960 | 2014-04-02 |
| 1891124996 | Best Doctors LLC | Family Medicine | 98 James St Ste 103, Edison, NJ 08820-3902 | 2013-11-08 |
| 1346582103 | Frank A.e Bonifacio | Family Medicine | 87 Waterman Ave, Rumson, NJ 07760-2038 | 2013-03-20 |
| 1497090872 | Health Sympl Inc. | Family Medicine | 2709 Route 130, Cranbury, NJ 08512-3137 | 2012-12-11 |
| 1700174166 | Dennie Bryant | Family Medicine | 91 Kingsbridge Dr, Lumberton, NJ 08048-5033 | 2011-07-19 |
| 1720234982 | Visiting Doctors of New Jersey, LLC | Family Medicine | 1421 Summit Avenue, Toms River, NJ 08753 | 2008-08-07 |
| 1497959696 | Zareen Taj Syed | Family Medicine | 629 Amboy Ave Fl 3, 302, Edison, NJ 08837-3579 | 2007-06-12 |
| 1396954145 | Gretchen B. Fahrenbruch | Family Medicine | 54 Montgomery St, Princeton Jct, NJ 08550-1335 | 2007-05-21 |
| 1114060647 | Joseph F Dougherty | Family Medicine | 17 Emerson Dr, Cinnaminson, NJ 08077-4059 | 2007-02-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.