Individual provider Active NPI

Jeanette Ravelo-Rodriguez, FNP-C

  • Urgent Care Clinic/Center
  • Red Bank, NJ
National Provider Identifier
1003507450
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Practice address
46 Newman Springs Rd E
Red Bank, NJ 07701-1530
Phone
(732) 933-4100
NPI assigned
May 17, 2023
Last updated
May 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

46 Newman Springs Rd E
Red Bank, NJ 07701-1530

Mailing address

300 Emory St Unit 211
Asbury Park, NJ 07712-7131
Phone (732) 423-8221

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
I20230816000404 NJ Practitioner - Nurse Practitioner 0042672552 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Physicians of New Jersey LLCGroup PAC ID 1658674585, 96 clinicians

Practice addresses (Care Compare)

46 Newman Springs Rd E
Suite F
Red Bank, NJ 07701-1531
Phone (732) 933-4100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Immediate Care Medical Walk-in of Hazlet, PA Urgent Care CurrentSince Aug 15, 2023 Accepting new patients
Urgent Care Physicians of New Jersey, LLC CurrentSince Aug 15, 2023 Accepting new patients
Golding Granado Medical Associates PastSince Aug 15, 2023 Accepting new patients

Locations

319 US Highway 130
East Windsor, NJ 08520
Phone (609) 426-4300

561 US Highway 1
Edison, NJ 08817
Phone (732) 933-0950

1376 State Route 36
Hazlet, NJ 07730
Phone (732) 264-5500

46 Newman Springs Rd E
Ste F
Red Bank, NJ 07701
Phone (732) 933-4100

1 Route 37 W
Toms River, NJ 08753
Phone (732) 281-3201

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1003507450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 EMORY ST UNIT 211",
            "city": "ASBURY PARK",
            "state": "NJ",
            "postal_code": "077127131",
            "telephone_number": "732-423-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 NEWMAN SPRINGS RD E",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011530",
            "telephone_number": "732-933-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVELO-RODRIGUEZ",
        "first_name": "JEANETTE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

Verify at the official NPI Registry.