Individual provider Active NPI

Amy B Carr, APN

  • Nurse Practitioner
  • Brick, NJ
National Provider Identifier
1104550524
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ01322700 Issued in NJ
Practice address
1541 Route 88 W
Brick, NJ 08724-2373
Phone
(732) 836-3200
NPI assigned
Jul 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01322700 NJ
Nurse Practitioner 363L00000X 26NJ01322700 NJ Primary

Addresses

Primary practice location

1541 Route 88 W
Brick, NJ 08724-2373

Mailing address

35 Broadway
Freehold, NJ 07728-1864
Phone (201) 317-1239

Other practice location 1

1541 Route 88 Ste A
Brick, NJ 08724-2373
Phone (732) 836-3200

Other practice location 2

2A Plaza Dr
Toms River, NJ 08757-3756
Phone (732) 818-0700

Other identifiers 1

IdentifierTypeStateIssuer
26NJ01322700MedicaidNJ

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
I20230508001210 NJ Practitioner - Nurse Practitioner 9830554260 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NJ Memory and Behavioral CareGroup PAC ID 7719013267, 71 clinicians

Practice addresses (Care Compare)

14 Ridgedale Ave
Suite 103
Cedar Knolls, NJ 07927-1106
Phone (973) 295-6335

1944 Route 33
Neptune, NJ 07753
Phone (732) 776-3787

1945 Route 33
Neptune, NJ 07753

3600 Route 66
FL 3
Neptune, NJ 07753

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ01322700NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Apr 14, 2025 Accepting new patients
Jersey Coast Nephrology and Hypertension Associates LLC CurrentSince Jan 26, 2023 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Apr 14, 2025 Accepting new patients
NJ Memory and Behavioral Care CurrentSince Jul 1, 2025 Accepting new patients
Northeast Kidney Care LLC PastSince Apr 1, 2024 Accepting new patients

Locations

1541 State Route 88
Ste A
Brick, NJ 08724
Phone (732) 818-0700

14 Ridgedale Ave
Ste 103
Cedar Knolls, NJ 07927
Phone (973) 295-6335

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

1944 State Route 33
Neptune, NJ 07753
Phone (732) 776-3787

575 Route 28
Bldg 2
Raritan, NJ 08869
Phone (973) 295-6335

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 5

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": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1104550524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 BROADWAY",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077281864",
            "telephone_number": "201-317-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 ROUTE 88 W",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087242373",
            "telephone_number": "732-836-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1541 Route 88 Ste A",
            "address_purpose": "LOCATION",
            "city": "Brick",
            "state": "NJ",
            "postal_code": "087242373",
            "country_code": "US",
            "telephone_number": "732-836-3200",
            "fax_number": "732-836-3201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2A Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Toms River",
            "state": "NJ",
            "postal_code": "087573756",
            "country_code": "US",
            "telephone_number": "732-818-0700",
            "fax_number": "732-818-0730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARR",
        "first_name": "AMY",
        "middle_name": "B",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01322700",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ01322700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "26NJ01322700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.