Individual provider Active NPI

Larissa Lobato, N.P.

  • Family Nurse Practitioner
  • Shrewsbury, NJ
National Provider Identifier
1023367166
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00391900 Issued in NJ
Practice address
750 Broad St Ste 104
Shrewsbury, NJ 07702-4230
Phone
(732) 687-9212
Fax
(732) 201-5709
NPI assigned
Sep 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00391900 NJ Primary

Addresses

Primary practice location

750 Broad St Ste 104
Shrewsbury, NJ 07702-4230

Mailing address

23 N Delsea Dr Unit B
Clayton, NJ 08312-1637
Phone (856) 423-7700

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
I20161201000246 NJ Practitioner - Nurse Practitioner 1658651088 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

750 Broad St
Suite 104
Shrewsbury, NJ 07702-4230
Phone (732) 687-9212

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00391900NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NJ Certified Dermatology PC CurrentSince Oct 1, 2016 Accepting new patients
LL Advanced Aesthetics CurrentSince Feb 1, 2025 Accepting new patients
Schweiger Dermatology, PC CurrentSince Jul 27, 2019 Accepting new patients
NJ Certified Dermatology PC CurrentSince Oct 1, 2016 Accepting new patients
NJ Certified Dermatology PC Past Accepting new patients
Dermone Dermatology Associates of the Garden State, PC PastSince Jul 27, 2019 Accepting new patients

Locations

23 N Delsea Dr
#B
Clayton, NJ 08312
Phone (856) 226-4852

731 Lacey Rd
Ste 6
Forked River, NJ 08731
Phone (609) 400-3902

712 E Bay Ave
Ste 18
Manahawkin, NJ 08050

26 State Route 35 N
Neptune, NJ 07753
Phone (732) 643-6299

200 Perrine Rd
Ste 226
Old Bridge, NJ 08857

750 Broad St
Ste 104
Shrewsbury, NJ 07702
Phone (732) 687-9212

1580 Lakewood Rd
Ste 16
Toms River, NJ 08755

2275 Route 33
Ste 303
Trenton, NJ 08690
Phone (609) 838-6100

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": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1023367166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 N DELSEA DR UNIT B",
            "city": "CLAYTON",
            "state": "NJ",
            "postal_code": "083121637",
            "telephone_number": "856-423-7700",
            "fax_number": "856-423-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 BROAD ST STE 104",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024230",
            "telephone_number": "732-687-9212",
            "fax_number": "732-201-5709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOBATO",
        "first_name": "LARISSA",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-05",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00391900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, NJ

Sources for this page

Verify at the official NPI Registry.