Individual provider Active NPI

Anita Lynn Hergert, MSN, RN, APN-C

  • Nurse Practitioner
  • Forked River, NJ
National Provider Identifier
1073072849
Registry record updated Aug 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00910600 Issued in NJ
Practice address
424 S Main St
Forked River, NJ 08731-4654
Phone
(609) 971-3500
NPI assigned
Mar 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 26NJ00910600 NJ
Nurse Practitioner 363L00000X 26NJ00910600 NJ Primary

Addresses

Primary practice location

424 S Main St
Forked River, NJ 08731-4654

Mailing address

137 Atlantic City Blvd Ste 1
Beachwood, NJ 08722-2935
Phone (609) 971-3500

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
I20190530001521 NJ Practitioner - Nurse Practitioner 3971846247 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Family & Geriatric Associates LLC CurrentSince Aug 5, 2019 Accepting new patients

Locations

20 Hospital Dr
Ste 3
Toms River, NJ 08755
Phone (732) 341-9900

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.

NPI Registry JSON

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723248000000",
    "number": "1073072849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 ATLANTIC CITY BLVD STE 1",
            "city": "BEACHWOOD",
            "state": "NJ",
            "postal_code": "087222935",
            "telephone_number": "609-971-3500",
            "fax_number": "732-244-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 S MAIN ST",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087314654",
            "telephone_number": "609-971-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERGERT",
        "first_name": "ANITA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "MSN, RN, APN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-19",
        "last_updated": "2024-08-10",
        "certification_date": "2024-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "26NJ00910600",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00910600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forked River, NJ

Sources for this page

Verify at the official NPI Registry.