Individual provider Active NPI

Noemi Brizuela, APN

  • Adult Health Nurse Practitioner
  • Jersey City, NJ
National Provider Identifier
1083153845
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00696500 Issued in NJ
Practice address
191 Palisade Ave
Jersey City, NJ 07306-1112
Phone
(201) 656-4324
Fax
(201) 656-4019
NPI assigned
Feb 13, 2017
Last updated
Feb 13, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00696500 NJ Primary

Addresses

Primary practice location

191 Palisade Ave
Jersey City, NJ 07306-1112

Mailing address

284 Linden Ave
Jersey City, NJ 07305-1912
Phone (201) 200-1432

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
I20170330002126 NJ Practitioner - Nurse Practitioner 7517242787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.04 of 100Reported as group
Quality
100
Improvement activities
40
Cost
55.16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00696500NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ambulatory Pain and Disability Management Center LLC Current Accepting new patients
Pain and Disability Institute, P.C. CurrentSince Mar 14, 2017 Accepting new patients

Locations

191 Palisade Ave
Jersey City, NJ 07306
Phone (201) 210-8022

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486944000000",
    "number": "1083153845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 LINDEN AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073051912",
            "telephone_number": "201-200-1432",
            "fax_number": "201-604-6796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 PALISADE AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061112",
            "telephone_number": "201-656-4324",
            "fax_number": "201-656-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIZUELA",
        "first_name": "NOEMI",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-13",
        "last_updated": "2017-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00696500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.