Individual provider Active NPI

Courtney Brennan, NP

  • Nurse Practitioner
  • Shrewsbury, NJ
National Provider Identifier
1033666573
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00662400 Issued in NJ
Practice address
1131 Broad Street Suite 201 Building B
Shrewsbury, NJ 07702-4368
Phone
(732) 380-1212
Fax
(732) 380-1372
NPI assigned
Sep 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00662400 NJ Primary

Addresses

Primary practice location

1131 Broad Street Suite 201 Building B
Shrewsbury, NJ 07702-4368

Mailing address

1131 Broad Street Suite 201 Building B
Shrewsbury, NJ 07702-4368
Phone (732) 380-1212

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
I20170511000351 NJ Practitioner - Nurse Practitioner 2466739966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Spine Specialists of NJ, LLCGroup PAC ID 8820144918, 4 clinicians

Practice addresses (Care Compare)

1131 Broad St
Suite 201
Shrewsbury, NJ 07702-4368
Phone (732) 380-1212

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00662400NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Spine Specialists of NJ, LLC CurrentSince Apr 3, 2017 Accepting new patients

Locations

1131 Broad St
Ste 201
Shrewsbury, NJ 07702
Phone (732) 345-8346

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HAJDDD/Endpoint/HAJDDD

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1033666573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 BROAD STREET SUITE 201 BUILDING B",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024368",
            "telephone_number": "732-380-1212",
            "fax_number": "732-380-1372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 BROAD STREET SUITE 201 BUILDING B",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024368",
            "telephone_number": "732-380-1212",
            "fax_number": "732-380-1372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "COURTNEY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00662400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, NJ

Sources for this page

Verify at the official NPI Registry.