Individual provider Active NPI

Josefina Gregory, ADV. PRACTICE RN

  • Pediatric Nurse Practitioner
  • Morristown, NJ
National Provider Identifier
1073786737
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
26NJ00000100 Issued in NJ
Practice address
261 James St Ste 1G
Morristown, NJ 07960-6348
Phone
(973) 540-9393
NPI assigned
Apr 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 26NJ00000100 NJ Primary

Addresses

Primary practice location

261 James St Ste 1G
Morristown, NJ 07960-6348

Mailing address

49 Charnwood Rd
New Providence, NJ 07974-1768
Phone (908) 508-1344

Other identifiers 1

IdentifierTypeStateIssuer
26NJ00000100OtherNJSTATE LICENSE

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
I20191114000483 NJ Practitioner - Nurse Practitioner 5193957728 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare , LLC CurrentSince Mar 15, 2022 Accepting new patients
Advocare, LLC CurrentSince Mar 15, 2022 Accepting new patients
Summit Medical Group PA CurrentSince Oct 7, 2019 Accepting new patients
Summit Medical Group PA CurrentSince Oct 7, 2019 Accepting new patients
Advocare, LLC Past Accepting new patients
Somerset Pediatric Group, LLC PastSince Jun 6, 2021 Accepting new patients

Locations

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

169 Mine Brook Rd
#P
Bernardsville, NJ 07924
Phone (908) 766-0034

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

261 James St
Ste 1G
Morristown, NJ 07960
Phone (973) 540-3939

Interoperability endpoints

  • Direct secure messaging: josefina.gregory.1@2983.direct.athenahealth.com
  • Direct secure messaging: josefina.gregory@advocaredoctors.eclinicaldirectplus.com

Organizations & group practices 6

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": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1073786737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 CHARNWOOD RD",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079741768",
            "telephone_number": "908-508-1344",
            "fax_number": "908-508-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 JAMES ST STE 1G",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606348",
            "telephone_number": "973-540-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "JOSEFINA",
        "credential": "ADV. PRACTICE RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-02",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "26NJ00000100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "26NJ00000100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.