Individual provider Active NPI

Rachana U Cammarata, ANP

  • Nurse Practitioner
  • Brick, NJ
National Provider Identifier
1013410810
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00809100 Issued in NJ
Practice address
186 Jack Martin Blvd Ste B1
Brick, NJ 08724-7728
Phone
(732) 785-1600
Fax
(732) 785-1642
NPI assigned
Mar 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00809100 NJ Primary
Family Nurse Practitioner 363LF0000X 26NJ00809100 NJ

Addresses

Primary practice location

186 Jack Martin Blvd Ste B1
Brick, NJ 08724-7728

Mailing address

425 Western Blvd
Bayville, NJ 08721-3313
Phone (732) 674-5048

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
I20180927001508 NJ Practitioner - Nurse Practitioner 9537410725 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ted L. Freeman,DO, PC CurrentSince Oct 1, 2023 Accepting new patients
Emergency Physician Associates of North Jersey P C CurrentSince Aug 1, 2023 Accepting new patients
Summit Medical Group PA Past Accepting new patients

Locations

495 Jack Martin Blvd
Brick, NJ 08724
Phone (732) 202-9222

186 Jack Martin Blvd
Ste B1
Brick, NJ 08724
Phone (732) 785-1600

530 New Brunswick Ave
Perth Amboy, NJ 08861
Phone (732) 324-5007

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

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.

NPI Registry JSON

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

{
    "created_epoch": "1521331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1013410810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 WESTERN BLVD",
            "city": "BAYVILLE",
            "state": "NJ",
            "postal_code": "087213313",
            "telephone_number": "732-674-5048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 JACK MARTIN BLVD STE B1",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247728",
            "telephone_number": "732-785-1600",
            "fax_number": "732-785-1642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMMARATA",
        "first_name": "RACHANA",
        "middle_name": "U",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-18",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00809100",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00809100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.