Provider Demographics
NPI:1841170503
Name:MONTEIRO, JANE MERCADO (NP)
Entity type:Individual
Prefix:MS
First Name:JANE
Middle Name:MERCADO
Last Name:MONTEIRO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8-35 FOREST ST
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-1509
Mailing Address - Country:US
Mailing Address - Phone:231-883-1402
Mailing Address - Fax:
Practice Address - Street 1:8-35 FOREST ST
Practice Address - Street 2:
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-1509
Practice Address - Country:US
Practice Address - Phone:231-883-1402
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-04
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ15412100363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health