Individual provider Active NPI

Eileen Janora

  • Family Nurse Practitioner
  • Asbury Park, NJ
National Provider Identifier
1003434739
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01041500 Issued in NJ
Practice address
1301 Main St
Asbury Park, NJ 07712-5359
Phone
(732) 774-6333
NPI assigned
Jul 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01041500 NJ Primary
Registered Nurse 163W00000X 26NR13110800 NJ

Addresses

Primary practice location

1301 Main St
Asbury Park, NJ 07712-5359

Mailing address

1301 Main St
Asbury Park, NJ 07712-5359
Phone (732) 774-6333

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210713002725 NJ Practitioner - Nurse Practitioner 4981006947 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affinity Care of NJ LLCGroup PAC ID 5193135754, 3 clinicians

Practice addresses (Care Compare)

635 Duquesne Blvd
Brick, NJ 08723-5073
Phone (609) 445-3700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ01041500NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Health Initiatives, Inc. CurrentSince Oct 15, 2021 Accepting new patients
Ocean Health Initiatives, Inc CurrentSince Oct 15, 2021 Accepting new patients
Affinity Care of NJ LLC Family CurrentSince May 12, 2022 Accepting new patients
Visiting Nurse Association of Central Jersey Community Health Center I CurrentSince Jul 1, 2021 Accepting new patients
Ocean Health Initiatives Inc Current Accepting new patients
Visiting Nurse Association of Central Jersey Community Health Center I CurrentSince Jul 1, 2021 Accepting new patients

Locations

1301 Main St
Asbury Park, NJ 07712
Phone (732) 774-6333

635 Duquesne Blvd
Brick, NJ 08723
Phone (609) 445-3700

35 Broad St
Keyport, NJ 07735
Phone (732) 888-4149

101 2nd St
Lakewood, NJ 08701
Phone (732) 886-4809

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1003434739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 MAIN ST",
            "city": "ASBURY PARK",
            "state": "NJ",
            "postal_code": "077125359",
            "telephone_number": "732-774-6333",
            "fax_number": "732-774-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 MAIN ST",
            "city": "ASBURY PARK",
            "state": "NJ",
            "postal_code": "077125359",
            "telephone_number": "732-774-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANORA",
        "first_name": "EILEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-09",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01041500",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR13110800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asbury Park, NJ

Sources for this page

Verify at the official NPI Registry.