Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Javicia N Peterson-Cole

Individual provider Adult Health Nurse Practitioner · NPI 1336404201

Javicia N Peterson-Cole is a Nurse Practitioner in West Orange, New Jersey. Qualified in 2010, 16 years ago. Practices with Rutgers Health-Rwj Scleroderma Program, a 387-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
16
Licensed in
NJ
In the registry since
2012
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Practice location Address checks out

101 Old Short Hills Rd Ste 401
West Orange, NJ 07052-1000
Phone: (973) 322-6532
Fax: (973) 322-6418
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 26NJ00311500 (NJ)

Record details

NPI number1336404201
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 6, 2012
Last updated in NPPESFebruary 5, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Rutgers Health-Rwj Scleroderma Program — 387 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in West Orange