CHARLOTTE JOANNE JORDAN (NPI# 1942467253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942467253 |
| Entity Type | Individual |
| Full Name | CHARLOTTE JOANNE JORDAN |
| Credential | MSN RN CRNP |
| Practice Address |
204 Grove Ave Suite C West Deptford NJ 08086-2557 |
| Mailing Address |
Po Box 67 Suite 108 Bridgeport NJ 08014-0067 |
| Practice Telephone | 8564672009 |
| Mailing Telephone | 8564678550 |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2014-04-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
26NN07483600 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184762700 | Charlotte Fauci Jordan | Marriage & Family Therapist | 617 Veterans Blvd, Suite 210, Redwood City, CA 94063-1496 | 2007-02-03 |
| 1336233048 | Charlotte F. Jordan | Social Worker | 4611 Western Boulevard, Raleigh, NC 27606 | 2006-10-03 |
| Street Address |
204 GROVE AVE SUITE C |
| City | WEST DEPTFORD |
| State | NJ |
| Zip Code | 08086-2557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811338130 | Avynne Hester | Physician Assistant | 204 Grove Ave, Suite C, West Deptford, NJ 08086-2557 | 2013-07-15 |
| 1033452024 | Heather M Laughland | Nurse Practitioner | 204 Grove Ave, Suite C, West Deptford, NJ 08086-2557 | 2013-03-28 |
| 1720139736 | Jay S Rosen | Family Medicine | 204 Grove Ave, Suite C, West Deptford, NJ 08086-2557 | 2007-01-16 |
| 1770650947 | Joseph Anthony Megara IIi | Podiatrist | 204 Grove Ave, Suite G, West Deptford, NJ 08086-2557 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639426141 | Rise Home Therapy, LLC | Physical Therapist | 82 Pelican Place, West Deptford, NJ 08086 | 2012-08-14 |
| 1417003278 | Michael Irwin Rouff | Dentist | 800 Jessup Road, Suite 805, Thorofare, NJ 08086 | 2007-01-26 |
| 1750480802 | Susan I Moreno | Physical Medicine & Rehabilitation | 196 Grove Ave Suite E, Thorofare, NJ 08086 | 2006-09-22 |
| 1245246982 | Nidhi Agrawal | Family Medicine | 196 Grove Avenue, Suite C, Thorofare, NJ 08086 | 2006-08-01 |
| 1407873466 | Stacey A Yandoli | Dentist | 776 Grove Rd, West Deptford, NJ 08086 | 2006-07-16 |
| 1649724816 | Colleen Di Luigi | Nurse Practitioner | 196 Grove Avenue, Suite C, Thorofare, NJ 08086 | 2016-08-05 |
| 1841652781 | Love Your Smile Family & Aesthetic Dentistry | Dentist | 196 Grove Ave, Suite F, West Deptford, NJ 08086 | 2016-03-21 |
| 1144557067 | Rite Aid of New Jersey Inc | Durable Medical Equipment & Medical Supplies | 1000 Kings Highway, West Deptford, NJ 08086 | 2009-11-13 |
| 1457551442 | Susan I Moreno M.d. P.C. | Specialist | 196 Grove Ave, Suite E, Thorofare, NJ 08086 | 2007-07-19 |
| 1063611523 | Janine Trindade | Dentist | 776 Grove Rd, West Deptford, NJ 08086 | 2007-07-15 |
| Find all providers in zip 08086 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689961237 | Diane Wright | Nurse Practitioner | 1672 Miller Ave, West Deptford, NJ 08086-3210 | 2011-07-05 |
| 1669743332 | Garden State Visiting Practitioners | Nurse Practitioner | 1672 Miller Ave, West Deptford, NJ 08086-3210 | 2012-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133175 | Kristy Liekfet | Nurse Practitioner | Atlanticare Apg Palliative Care, 1925 Pacific Ave. 1st Flr, Atlantic City, NJ 08401 | 2020-10-29 |
| 1609476761 | Remya Uthup | Nurse Practitioner | 240 Main St Apt 418, Hackensack, NJ 07601-5745 | 2020-10-28 |
| 1083213524 | Joann Michelle Munoz | Nurse Practitioner | 11 Highland Pl, Ridgefield Park, NJ 07660-1203 | 2020-10-24 |
| 1669071775 | Destiny Medical Practice LLC | Nurse Practitioner | 10 Amara Ln, Westampton, NJ 08060-5753 | 2020-10-20 |
| 1912505918 | Lamercie Brasier | Nurse Practitioner | 55 Valley Way, West Orange, NJ 07052-5829 | 2020-10-12 |
| 1568069912 | Christine B Adams | Nurse Practitioner | 75 Lane Rd, Fairfield, NJ 07004-1044 | 2020-10-07 |
| 1255938361 | Maryjoy Marzan | Nurse Practitioner | Hope Tower - Jersey Shore University Medical Center, 19 Davis St 6th Floor, Neptune, NJ 07753 | 2020-10-02 |
| 1235746553 | Ellen Smith | Nurse Practitioner | 340 Airis Dr., Suite 203, Newark, NJ 07114 | 2020-09-30 |
| 1861009342 | Maria Angela Flores | Nurse Practitioner | 482 William Way N, Wyckoff, NJ 07481-1722 | 2020-09-28 |
| 1437764545 | Alison O'neill | Nurse Practitioner | 720 Monroe St Ste E407, Hoboken, NJ 07030-6356 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
| City | WEST DEPTFORD |
| Zip Code | 08086 |
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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.