Active NPI
Grant Marshall Myers, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Toms River, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 26NJ00419200
- Practice address
- 509 Main Street, BLDG a
2ND Floor, Suite B
Toms River, NJ 08753-7402 - Phone
- (732) 301-6904
- Fax
- (732) 605-5771
- NPI assigned
- Mar 22, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 26NJ00419200 | NJ | Primary |
Addresses
Primary practice location
509 Main Street, BLDG a
2ND Floor, Suite B
Toms River, NJ 08753-7402
Mailing address
509 Main Street, BLDG a
2ND Floor, Suite B
Toms River, NJ 08753-7402
Phone (732) 301-6904
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
14 Ridgedale Ave
Suite 103
Cedar Knolls, NJ 07927-1106
Phone (973) 295-6335
509 Main St
Toms River, NJ 08753-7402
Phone (732) 301-6904
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00419200 | NJ | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NJ Memory and Behavioral Care | Current | Accepting new patients |
Locations
14 Ridgedale Ave
Ste 103
Cedar Knolls, NJ 07927
Phone (973) 295-6335
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Geriatric Psychiatry Physician
- Cedar Knolls, NJ
- NPI 1538499181
-
- Psychiatric/Mental Health Nurse Practitioner
- Toms River, NJ
- NPI 1205609872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712016000000",
"number": "1003158502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 MAIN STREET, BLDG A",
"address_2": "2ND FLOOR, SUITE B",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087537402",
"telephone_number": "732-301-6904",
"fax_number": "732-605-5771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 MAIN STREET, BLDG A",
"address_2": "2ND FLOOR, SUITE B",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087537402",
"telephone_number": "732-301-6904",
"fax_number": "732-605-5771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "GRANT",
"middle_name": "MARSHALL",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-22",
"last_updated": "2024-04-02",
"certification_date": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NJ",
"license": "26NJ00419200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toms River, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.