Lorraine Raagas Formanes, DNP, APN, CPNP

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

26NJ01199100 Issued in NJ

Practice address

556 Central Ave
New Providence, NJ 07974-1563

Phone

(908) 508-0400

NPI assigned

Sep 21, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

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.

• St. Joseph'S Healthcare, Inc.

  • Internal Medicine Physician
  • Paterson, NJ
  • NPI 1497791297

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1063183036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 CENTRAL AVE",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079741563",
            "telephone_number": "908-508-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 CENTRAL AVE",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079741563",
            "telephone_number": "908-508-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORMANES",
        "first_name": "LORRAINE",
        "middle_name": "RAAGAS",
        "name_prefix": "Dr.",
        "credential": "DNP, APN, CPNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "26NJ01199100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Patrick Farry, MD
• Margaret Ferraioli, RN
• Emily C Fitzgerald
• Amy Lynn Flavin, MS LPC
• Allison Flockhart, ATC
• Nancy Harvier Forrester, PT
• Lenette Nicole Foster, LPC
• Pamela Frank
• Susan Linda Frankel, D.O.
• Frasco Chiropractic,LLC.

• Pediatrics Physician in New Providence, NJ
• Providers in New Providence, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.