Individual provider Active NPI

Tracy Elizabeth McIntyre, APN

  • Adult Health Nurse Practitioner
  • Neptune, NJ
National Provider Identifier
1013204486
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00333400 Issued in NJ
Practice address
444 Neptune Blvd
Second Floor
Neptune, NJ 07753
Phone
(723) 775-5300
Fax
(732) 775-1737
NPI assigned
Jul 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00333400 NJ Primary

Addresses

Primary practice location

444 Neptune Blvd
Second Floor
Neptune, NJ 07753

Mailing address

444 Neptune Blvd
Second Floor
Neptune, NJ 07753
Phone (723) 775-5300

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
I20121108000361 NJ Practitioner - Nurse Practitioner 5496906042 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hackensack Meridian Health Medical Group - Specialty Care PCGroup PAC ID 9133032519, 1,901 clinicians

Practice addresses (Care Compare)

620 Cranbury Rd
Suite 111
East Brunswick, NJ 08816-4000
Phone (732) 613-9144

Hospital & facility affiliations

  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108
  • Raritan Bay Medical Center Hospital, Perth Amboy, NJ, CCN 310039
  • Jersey Shore University Medical Center Hospital, Neptune, NJ, CCN 310073

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
66.38
Promoting interoperability
100
Improvement activities
40
Cost
71.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26NJ00333400NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Sep 5, 2023 Accepting new patients
Atlantic Cardiology LLC CurrentSince Mar 9, 2015 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Sep 5, 2023 Accepting new patients

Locations

620 Cranbury Rd
Ste 111
East Brunswick, NJ 08816
Phone (732) 238-2662

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

444 Neptune Blvd
Unit 2
Neptune, NJ 07753
Phone (732) 774-0436

3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463

444 Neptune Blvd
Neptune City, NJ 07753
Phone (732) 462-6666

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBHIBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1013204486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 NEPTUNE BLVD",
            "address_2": "SECOND FLOOR",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "07753",
            "telephone_number": "723-775-5300",
            "fax_number": "732-775-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 NEPTUNE BLVD",
            "address_2": "SECOND FLOOR",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "07753",
            "telephone_number": "723-775-5300",
            "fax_number": "732-775-1737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "TRACY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-06",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00333400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

Verify at the official NPI Registry.