Active NPI
Jennifer Demosthene, APN
- Nurse Practitioner
- Newark, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 26NJ01359200
- Practice address
- 166 Lyons Ave
Newark, NJ 07112-2016 - Phone
- (973) 926-8491
- NPI assigned
- Jun 23, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 26NR20660900 | NJ | |
| Nurse Practitioner | 363L00000X | 26NJ01359200 | NJ | Primary |
Addresses
Primary practice location
166 Lyons Ave
Newark, NJ 07112-2016
Mailing address
166 Lyons Ave
Newark, NJ 07112-2016
Phone (973) 926-8491
Other practice location 1
2040 Millburn Ave Ste 102
Maplewood, NJ 07040-3716
Phone (973) 926-8491
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, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
166 Lyons Ave
Newark, NJ 07112-2016
94 Old Short Hills Rd
Livingston, NJ 07039-5672
Hospital & facility affiliations
- Newark Beth Israel Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.51 of 100
- Quality
- 84.27
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR20660900 | NJ | MD | Registered Nurse |
| 26NJ01359200 | NJ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patient Care Medical Group PC | Current | Accepting new patients | |
| Barnabas Health Medical Group PC | Current | Accepting new patients | |
| Barnabas Health Medical Group PC | Current | Accepting new patients |
Locations
26 Main St
Edison, NJ 08837
Phone (609) 385-2622
355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224
475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
235 Millburn Ave
Ste 101
Millburn, NJ 07041
Phone (973) 376-8034
166 Lyons Ave
Fl 1
Newark, NJ 07112
Phone (973) 926-7282
166 Lyons Ave
Newark, NJ 07112
Phone (973) 926-7300
Interoperability endpoints
- jdemosthene263605@epicdirect.rwjbh.org
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.
-
- Specialist
- Elizabeth, NJ
- NPI 1841557246
-
- Geriatric Medicine (Internal Medicine) Physician
- Woodbury, NJ
- NPI 1891362364
-
- Durable Medical Equipment & Medical Supplies
- Hackensack, NJ
- NPI 1316772668
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newark, NJ
- NPI 1215027966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778112000000",
"number": "1013586171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "166 LYONS AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071122016",
"telephone_number": "973-926-8491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166 LYONS AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071122016",
"telephone_number": "973-926-8491"
}
],
"practiceLocations": [
{
"address_1": "2040 Millburn Ave Ste 102",
"address_purpose": "LOCATION",
"city": "Maplewood",
"state": "NJ",
"postal_code": "070403716",
"country_code": "US",
"telephone_number": "973-926-8491",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEMOSTHENE",
"first_name": "JENNIFER",
"credential": "APN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-23",
"last_updated": "2026-05-07",
"certification_date": "2026-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NJ",
"license": "26NR20660900",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "26NJ01359200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.