Individual ProviderJoanne PecoraroNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address254 Easton Ave, Womens Ambulatory Care 1 H, New Brunswick, NJ 08901-1766(732) 745-8600PECOS EnrollmentBased on the most recent information from CMS, provider Joanne Pecoraro is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1649281247Provider TypeIndividualFull NamePecoraro, JoanneTitleMrs.CredentialRN,APN, CGenderFemaleSole ProprietorNoEnumeration Date8/10/2006Last Updated7/10/2007Contact InformationPractice LocationPractice Address254 Easton Ave, Womens Ambulatory Care 1 H, New Brunswick, NJ 08901-1766Phone(732) 745-8600FaxUnlisted FaxMailing LocationMailing Address254 Easton Ave, Womens Ambulatory Care 1h, New Brunswick, NJ 08901-1766Phone(732) 745-8600FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense26NN06681600New JerseyProvider IdentifiersIDDescriptionIssuerID8298807DescriptionMedicaidIssuerUnlistedNew Jersey