| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MARIE JO BENTIVEGNA | 1639232671 | 2024-07-05 |
Marie Jo Bentivegna is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1639232671. Registration indicates Marie Jo Bentivegna is a provider of services with a specialization in Nursing Service Providers, Registered Nurse (Registered Nurse: Ambulatory Care, ) (Registered Nurse Ambulatory Care, Nursing Service Providers) (Registered Nurse, ) Access to OB/GYN (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Womens Health, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Womens Health, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Mrs. Marie Jo Bentivegna MSN, APN, C |
| Practice Office Address | 200 CAMPBELL DR STE 101 WILLINGBORO, NJ US |
| Practice Office Telephone | 6098778777 |
| Practice Office Fax | 6098772497 |
| Mailing Address | PO BOX 22581 NEW YORK, NY 100872581 US |
| Business Telephone | 6104824795 |
| Business Fax | 8565283117 |
| Direct Messaging Address [] | [email protected] | Direct |
| Code | Practice | License No State |
|---|---|---|
| 163WP2201X | Nursing Service Providers Registered Nurse Registered Nurse: Ambulatory Care Registered Nurse Ambulatory Care Nursing Service Providers Registered Nurse | 26NJ00073500
NJ |
| 363LW0102X PRIMARY | Access to OB/GYN Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Womens Health All Other Specialties & Provider Types Nurse Practitioner Womens Health Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 26NJ00073500
NJ |