| Mrs Nichole Cecilia Jenisch, RN, APN,C | |
|
1 Health Plz Bldg 315, East Hanover, NJ 07936-1016 | |
| (862) 778-7960 | |
| (973) 791-6505 |
| Full Name | Mrs Nichole Cecilia Jenisch |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 1 Health Plz Bldg 315, East Hanover, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235310012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 26NJ00139200 (New Jersey) | Primary |
| Entity Name | Practice Associates Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427016385 PECOS PAC ID: 5890703177 Enrollment ID: O20060330000690 |
| Entity Name | The Radiology Group Of New Jersey Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174010540 PECOS PAC ID: 4082979166 Enrollment ID: O20180518001107 |
| Entity Name | Zufall Health Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548515091 PECOS PAC ID: 2365448461 Enrollment ID: O20210224000587 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Nichole Cecilia Jenisch, RN, APN,C Po Box 416457, Boston, MA 02241-6457 Ph: (844) 362-1735 | Mrs Nichole Cecilia Jenisch, RN, APN,C 1 Health Plz Bldg 315, East Hanover, NJ 07936-1016 Ph: (862) 778-7960 |
Sapana V Patel, N.P Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Health Plz, Corporate Health, East Hanover, NJ 07936 Phone: 862-778-9389 | |
Nessy Thomas Thadathil, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8 Hoover Ave, East Hanover, NJ 07936 Phone: 973-792-8785 | |
Mrs. Molly Jacob, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 30 Brace Dr, East Hanover, NJ 07936 Phone: 973-781-0172 | |
Kate A Okusanya, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 47 Peach Tree Ave, East Hanover, NJ 07936 Phone: 908-304-5313 Fax: 973-585-4229 | |
Michele Bauzil Dolisca, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4 Pollis Dr, East Hanover, NJ 07936 Phone: 973-515-5264 |