Provider Demographics
NPI:1780701144
Name:BETANCOURT, JAMES MARTIN (DNP, APN, FNP-C)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MARTIN
Last Name:BETANCOURT
Suffix:
Gender:M
Credentials:DNP, APN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:934 DONCASTER DR
Mailing Address - Street 2:
Mailing Address - City:WEST DEPTFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08066-1910
Mailing Address - Country:US
Mailing Address - Phone:856-373-8803
Mailing Address - Fax:856-845-7970
Practice Address - Street 1:435 HURFFVILLE CROSSKEY ROAD
Practice Address - Street 2:
Practice Address - City:TURNERSVILL
Practice Address - State:NJ
Practice Address - Zip Code:08012
Practice Address - Country:US
Practice Address - Phone:856-582-2856
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00346600363LF0000X
PASP007415363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily