Provider Demographics
NPI:1538238712
Name:PEPPARD, JANET BORRELLO (APN, RN)
Entity type:Individual
Prefix:MRS
First Name:JANET
Middle Name:BORRELLO
Last Name:PEPPARD
Suffix:
Gender:F
Credentials:APN, RN
Other - Prefix:MISS
Other - First Name:JANET
Other - Middle Name:
Other - Last Name:BORRELLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:135 CHESTNUT RIDGE ROAD SUITE 1120
Mailing Address - Street 2:
Mailing Address - City:MONTVALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07645
Mailing Address - Country:US
Mailing Address - Phone:201-391-2020
Mailing Address - Fax:
Practice Address - Street 1:135 CHESTNUT RIDGE ROAD SUITE 1120
Practice Address - Street 2:
Practice Address - City:MONTVALE
Practice Address - State:NJ
Practice Address - Zip Code:07645
Practice Address - Country:US
Practice Address - Phone:201-391-2020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2020-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR12073900163W00000X
NY532405-01163W00000X
NYF381806-1363LP0200X
NJ26NJ00140400363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics