Active NPI
Cassandra Nunez, APN
- Psychiatric/Mental Health Nurse Practitioner
- Evesham, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 26NJ00996200
- Practice address
- 777 Route 70 E Ste G101
Evesham, NJ 08053-2548 - Phone
- (856) 818-4020
- NPI assigned
- Dec 8, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ00996200 | NJ | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 26NJ00996200 | NJ | Primary |
Addresses
Primary practice location
777 Route 70 E Ste G101
Evesham, NJ 08053-2548
Mailing address
180 Talmadge Rd # 822
Edison, NJ 08817-2860
Phone (973) 866-9387
Other practice location 1
111 Lexington Ave
Passaic, NJ 07055-5246
Phone (973) 471-8006
Other practice location 2
14 Ridgedale Ave
Cedar Knolls, NJ 07927-1106
Phone (973) 295-6335 ext. 97329
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vita Nova Sana NP in Psychiatry | Family | Current | Accepting new patients |
| Mental Health Clinic of Passaic Inc | Current | Accepting new patients | |
| NJ Memory and Behavioral Care | Current | Accepting new patients | |
| Regional NP in Psychiatry | Past | Accepting new patients |
Locations
14 Ridgedale Ave
Ste 103
Cedar Knolls, NJ 07927
Phone (973) 295-6335
180 Talmadge Rd
#822
Edison, NJ 08817
Phone (646) 847-8654
111 Lexington Ave
Passaic, NJ 07055
Phone (973) 471-8006
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/mhcp/r4/
Organizations & group practices 4
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.
-
- Geriatric Psychiatry Physician
- Cedar Knolls, NJ
- NPI 1538499181
-
- Psychiatric/Mental Health Nurse Practitioner
- Edison, NJ
- NPI 1942040662
Family
-
- Community/Behavioral Health Agency
- Clifton, NJ
- NPI 1619009701
-
- Psychiatry Physician
- Staten Island, NY
- NPI 1699364281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713484800000",
"number": "1053958140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 TALMADGE RD # 822",
"city": "EDISON",
"state": "NJ",
"postal_code": "088172860",
"telephone_number": "973-866-9387",
"fax_number": "973-604-4174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 ROUTE 70 E STE G101",
"city": "EVESHAM",
"state": "NJ",
"postal_code": "080532548",
"telephone_number": "856-818-4020"
}
],
"practiceLocations": [
{
"address_1": "111 Lexington Ave",
"address_purpose": "LOCATION",
"city": "Passaic",
"state": "NJ",
"postal_code": "070555246",
"country_code": "US",
"telephone_number": "973-471-8006",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14 Ridgedale Ave",
"address_purpose": "LOCATION",
"city": "Cedar Knolls",
"state": "NJ",
"postal_code": "079271106",
"country_code": "US",
"telephone_number": "973-295-6335 x97329",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NUNEZ",
"first_name": "CASSANDRA",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-08",
"last_updated": "2024-04-19",
"certification_date": "2024-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ00996200",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NJ",
"license": "26NJ00996200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evesham, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.