Nicole Loren Van Nes, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

26NR22658200 Issued in NJ

Practice address

63 Grand Ave Ste 137
River Edge, NJ 07661-1930

Phone

(201) 696-2646

Fax

(201) 485-6570

NPI assigned

Dec 9, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Nicole Loren Grossbard Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Dan Landmann MD LLC

  • Ophthalmology Physician
  • River Edge, NJ
  • NPI 1598175002
  NPD

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1023614658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 BROWNSTONE WAY APT 209",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076311211",
            "telephone_number": "845-558-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 GRAND AVE STE 137",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076611930",
            "telephone_number": "201-696-2646",
            "fax_number": "201-485-6570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Ramland Rd S Ste 200A",
            "address_purpose": "LOCATION",
            "city": "Orangeburg",
            "state": "NY",
            "postal_code": "109622626",
            "country_code": "US",
            "telephone_number": "914-614-4343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN NES",
        "first_name": "NICOLE",
        "middle_name": "LOREN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-09",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NR22658200",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "347431",
            "primary": false
        },
        {
            "code": "163WN0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal Intensive Care",
            "state": "NY",
            "license": "717409",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "GROSSBARD",
            "middle_name": "LOREN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert L Sylvester II, D.C.
• Andrew John Tashjian MD, MD
• The Eye Centre LLP
• Ileana Toledo, P.T.
• Aryadne Valadao, LSW
• Dina Vaynberg, MD
• Kathryn Vetrano, LMHC
• Theresa Marie Villani, L.C.S.W.
• Walk in Progress
• Avital Weitzner

• Nurse Practitioner in River Edge, NJ
• Providers in River Edge, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.