Elyse Fearon
Elyse Fearon is a Nurse Practitioner in Bloomfield, New Jersey. Qualified in 2024, 2 years ago. Practices with John V Kelly MD PC, a 5-clinician group and accepts Medicare assignment. Licensed in New Jersey.
- Years since qualifying
- 2
- Licensed in
- NJ
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
382 W Passaic AveBloomfield, NJ 07003-5554
Phone: (973) 338-1900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gerontology Nurse Practitioner (primary) | Taxonomy 363LG0600X · Licence 26NJ15226200 (NJ) |
|---|---|
| Primary Care Nurse Practitioner | Taxonomy 363LP2300X · Licence 26NJ15226200 (NJ) |
Record details
| NPI number | 1720896491 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 26, 2024 |
| Last updated in NPPES | December 26, 2024 |
| Certification date | December 26, 2024 |
| Mailing address | 87 Union St, Cedar Grove, NJ 07009-1925 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | John V Kelly Md Pc — 5 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Bloomfield
-
Phyllis Gerber, APN
359 Memorial Pkwy Fl 1, Bloomfield, NJ 07003-4264 · (973) 464-8895
-
Nodeen Glen, AGPCNP-BC
208 Bloomfield Ave Apt 112, Bloomfield, NJ 07003-5795 · (973) 878-2343
-
Natalie Rose Graziano, NURSEPRACTITIONER
382 W Passaic Ave Ste 3, Bloomfield, NJ 07003-5555 · (973) 338-1900
-
Soniya Herapara, NURSEPRACTITIONER
55 W Passaic Ave, Bloomfield, NJ 07003-4502 · (973) 338-8059