Individual provider Active NPI

Megan Edwards, CPNP

  • Pediatric Nurse Practitioner
  • Ocean, NJ
National Provider Identifier
1093460800
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
26NJ01274100 Issued in NJ
Practice address
804 W Park Ave
Ocean, NJ 07712-7272
Phone
(732) 531-0010
NPI assigned
Feb 21, 2022
Last updated
Feb 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 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 26NJ01274100 NJ Primary

Addresses

Primary practice location

804 W Park Ave
Ocean, NJ 07712-7272

Mailing address

111 Round Ridge Rd
Mechanicsburg, PA 17055-9202
Phone (717) 350-4115

Other practice location 1

219 Taylors Mills Rd
Manalapan, NJ 07726-3255
Phone (732) 577-0088

Other practice location 2

921 E County Line Rd
Lakewood, NJ 08701-2063
Phone (732) 370-8500

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
I20220729001065 NJ Practitioner - Nurse Practitioner 3971985524 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ01274100NJMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group PC CurrentSince Apr 20, 2022 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Apr 20, 2022 Accepting new patients

Locations

355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

921 E County Line Rd
Ste B
Lakewood, NJ 08701
Phone (732) 370-8500

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

219 Taylors Mills Rd
Ste 1
Manalapan, NJ 07726
Phone (732) 577-0088

Interoperability endpoints

  • Direct secure messaging: medwards101294@epicdirect.rwjbh.org

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": "1645401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1093460800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 ROUND RIDGE RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170559202",
            "telephone_number": "717-350-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 W PARK AVE",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077127272",
            "telephone_number": "732-531-0010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "219 Taylors Mills Rd",
            "address_purpose": "LOCATION",
            "city": "Manalapan",
            "state": "NJ",
            "postal_code": "077263255",
            "country_code": "US",
            "telephone_number": "732-577-0088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "921 E County Line Rd",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "NJ",
            "postal_code": "087012063",
            "country_code": "US",
            "telephone_number": "732-370-8500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "MEGAN",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "26NJ01274100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean, NJ

Sources for this page

Verify at the official NPI Registry.