Individual provider Active NPI

Nicole Alexandria Pugh-Martin, DNP

  • Gerontology Nurse Practitioner
  • Linden, NJ
National Provider Identifier
1083369847
Registry record updated Jul 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
2020010822 Issued in PA
Practice address
653 W Edgar Rd
Linden, NJ 07036-6574
Phone
(610) 905-3752
NPI assigned
Feb 19, 2022
Last updated
Jul 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 2020010822 PA Primary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 2020010822 PA
Gerontology Nurse Practitioner 363LG0600X F312819-01 NY
Gerontology Nurse Practitioner 363LG0600X 0024197902 VA
Gerontology Nurse Practitioner 363LG0600X 26NJ01402900 NJ
Gerontology Nurse Practitioner 363LG0600X APRN11015509 FL

Addresses

Primary practice location

653 W Edgar Rd
Linden, NJ 07036-6574

Mailing address

653 W Edgar Rd # 1248
Linden, NJ 07036-6574
Phone (610) 905-3752

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230119001593 NJ Practitioner - Nurse Practitioner 9830560390 Reassigns benefits to 3 organizations
I20240716003318 PA Practitioner - Nurse Practitioner 9830560390 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Curana Health of Pennsylvania PCGroup PAC ID 6507246345, 98 clinicians
Patient Care Medical Group PCGroup PAC ID 8022413459, 30 clinicians
Affiliated Primary Care Associates IIGroup PAC ID 4385128131, 15 clinicians

Practice addresses (Care Compare)

1 Kirkland Village Cir
Bethlehem, PA 18017-4797
Phone (337) 991-9276

101 N Grove St
East Orange, NJ 07017-4712
Phone (212) 734-6621

180 Sylvan Ave
Englewood Cliffs, NJ 07632-2512
Phone (212) 734-6621

26 Main St
Edison, NJ 08837-3418
Phone (212) 734-6621

4401 Haverford Ave
Philadelphia, PA 19104-1332
Phone (212) 734-6621

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2020010822PAMDHospice and Palliative Medicine (Family Medicine) Physician
APRN11015509FLMDGerontology Nurse Practitioner
26NJ01402900NJMDGerontology Nurse Practitioner
F312819-01NYMDGerontology Nurse Practitioner
0024197902VAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
HDC Care Solutions, LLC Gerontology CurrentSince Sep 7, 2023 Accepting new patients
House Call Healthcare Services CurrentSince Jun 3, 2025 Accepting new patients
Curana Health of Pennsylvania PC CurrentSince Jul 10, 2024 Accepting new patients
Patient Care Medical Group PC CurrentSince Oct 28, 2025 Accepting new patients
Vitality NP Group LLC Gerontology PastSince Dec 1, 2022 Accepting new patients

Locations

26 Main St
Edison, NJ 08837
Phone (609) 385-2622

103 Carnegie Ctr
Ste 300
Princeton, NJ 08540
Phone (609) 524-2514

526 N Saint Cloud St
#1601
Allentown, PA 18104

526 N Saint Cloud St
Ste 1601
Allentown, PA 18104
Phone (267) 308-4902

1 Kirkland Vlg
Bethlehem, PA 18017
Phone (610) 691-4500

7 E Locust St
Oxford, PA 19363
Phone (610) 998-2400

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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": "1645228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784332800000",
    "number": "1083369847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 W EDGAR RD # 1248",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070366574",
            "telephone_number": "610-905-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 W EDGAR RD",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070366574",
            "telephone_number": "610-905-3752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGH-MARTIN",
        "first_name": "NICOLE",
        "middle_name": "ALEXANDRIA",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-19",
        "last_updated": "2026-07-18",
        "certification_date": "2026-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "2020010822",
            "primary": true
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "PA",
            "license": "2020010822",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "F312819-01",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0024197902",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ01402900",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11015509",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linden, NJ

Sources for this page

Verify at the official NPI Registry.