Individual provider Active NPI

Mary Ellen Byrne, RN,APN,C

  • Family Nurse Practitioner
  • East Brunswick, NJ
National Provider Identifier
1033324371
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NN03477300 Issued in NJ
Practice address
754 State Route 18
Suite 107
East Brunswick, NJ 08816-4909
Phone
(732) 257-1171
Fax
(732) 257-2618
NPI assigned
May 11, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 26NN03477300 NJ Primary

Addresses

Primary practice location

754 State Route 18
Suite 107
East Brunswick, NJ 08816-4909

Mailing address

754 State Route 18
Suite 107
East Brunswick, NJ 08816-4909
Phone (732) 257-1171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory J. Shypula, MD, PA Past Accepting new patients
Tomasz Grochowalski MD PA Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033324371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 STATE ROUTE 18",
            "address_2": "SUITE 107",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164909",
            "telephone_number": "732-257-1171",
            "fax_number": "732-257-2618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 STATE ROUTE 18",
            "address_2": "SUITE 107",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164909",
            "telephone_number": "732-257-1171",
            "fax_number": "732-257-2618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRNE",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "credential": "RN,APN,C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NN03477300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.