Basic Information
| Provider Information | |||||||||
| NPI: | 1871163857 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LOVEJOY | ||||||||
| FirstName: | MADDALENA | ||||||||
| MiddleName: | TERESA | ||||||||
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| Credential: | RN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 243 SHERMAN AVE FL 1 | ||||||||
| Address2: | |||||||||
| City: | SEASIDE HEIGHTS | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 087512021 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9789423401 | ||||||||
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| Practice Location | |||||||||
| Address1: | 16 WHITESVILLE RD UNIT 1 | ||||||||
| Address2: | |||||||||
| City: | TOMS RIVER | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 087534107 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7327972505 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/30/2021 | ||||||||
| LastUpdateDate: | 06/30/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/30/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WP0200X | RN2310499 | MA | Y | Nursing Service Providers | Registered Nurse | Pediatrics |
No ID Information.