Mrs Jessica Marie Fatale, - Nurse Practitioner in Newark, NJ

Mrs Jessica Marie Fatale, is a Nurse Practitioner - Neonatal based in Newark, New Jersey. Mrs Jessica Marie Fatale is licensed to practice in New Jersey (license number 26NJ14967000) and her current practice location is 201 Lyons Ave, Newark, New Jersey. She can be reached at her office (for appointments etc.) via phone at (973) 926-7131.

NPI number for Mrs Jessica Marie Fatale is 1144096926 and her current mailing address is 8 Elm Pl, Matawan, New Jersey. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144096926.

Contact Information

Mrs Jessica Marie Fatale,
201 Lyons Ave,
Newark, NJ 07112-2027
(973) 926-7131
Not Available

Map and Direction




Provider's Profile

Full NameMrs Jessica Marie Fatale
GenderFemale
SpecialityNurse Practitioner - Neonatal
Location201 Lyons Ave, Newark, New Jersey
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1144096926
  • Provider Enumeration Date: 12/01/2023
  • Last Update Date: 12/13/2023

Medical Identifiers

Medical identifiers for Mrs Jessica Marie Fatale such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144096926NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LN0000XNurse Practitioner - Neonatal 26NJ14967000 (New Jersey)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jessica Marie Fatale is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Jessica Marie Fatale,
8 Elm Pl,
Matawan, NJ 07747-3000

Ph: (917) 715-9301
Mrs Jessica Marie Fatale,
201 Lyons Ave,
Newark, NJ 07112-2027

Ph: (973) 926-7131

Reviews and Comments


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