Nediya Griffith

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ00577600 Issued in NJ

Practice address

2009 Bacharach Blvd
Atlantic City, NJ 08401-3003

Phone

(609) 344-5714

Fax

(609) 575-6033

NPI assigned

Jun 10, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Atlanticare Health Services, Inc.

  • Clinic/Center
  • Atlantic City, NJ
  • NPI 1215987771
  Medicare reassignment NPD
• Atlanticare Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Egg Harbor Township, NJ
  • NPI 1407617947
  NPD
• Atlanticare Health Services Inc.

  • Federally Qualified Health Center (FQHC)
  • Galloway, NJ
  • NPI 1043700495
  NPD (past)
• Atlanticare Health Services, Inc.

  • Clinic/Center
  • Egg Harbor Township, NJ
  • NPI 1477799294
  NPD (past)

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

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1104207695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 BACHARACH BLVD",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084013003",
            "telephone_number": "609-344-5714",
            "fax_number": "609-575-6033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 BACHARACH BLVD",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084013003",
            "telephone_number": "609-344-5714",
            "fax_number": "609-575-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "NEDIYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-10",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R187387",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00577600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0477176",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anoushka Gowda
• Kelli L Gramlich
• Green Marketing
• Mikayla M Greenway, LAC
• Heidi Elizabeth Griffith, MD
• Angela Guedes
• Ave Marie Guerrieri
• Javier Guzman
• Mounes Habj-Bik, MD
• Cory Hackmyer, DO

• Family Nurse Practitioner in Atlantic City, NJ
• Providers in Atlantic City, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.