IndividualActive
Jonah Mateos
NPI 1740884618 · Peritoneal Dialysis Registered Nurse · Edgewater, NJ
Provider details
- NPI number
- 1740884618
- Entity type
- Individual
- Primary specialty
- Peritoneal Dialysis Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 787603-01 (NY)
Specialties & taxonomies
Nursing Service Providers
Practice location
1150 River Rd Apt 2c
Edgewater, NJ 07020-1347
Phone: (202) 375-1890
Approximate (ZIP-level) locationGet directions
Mailing address
1150 River Rd Apt 2c
Edgewater, NJ 07020-1347
Registry dates
- Enumerated
- 2020-11-22
- Last updated
- 2020-11-22
- Certified
- 2020-11-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.