Individual provider Active NPI

Valsamma Joseph, ANP-C

  • Adult Health Nurse Practitioner
  • Edison, NJ
National Provider Identifier
1104860170
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00074000 Issued in NJ
Practice address
225 May St
Suite F
Edison, NJ 08837-3266
Phone
(732) 738-8855
Fax
(732) 738-4141
NPI assigned
Jun 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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 26NJ00074000 NJ Primary

Addresses

Primary practice location

225 May St
Suite F
Edison, NJ 08837-3266

Mailing address

225 May St
Suite F
Edison, NJ 08837-3266
Phone (732) 738-8855

Other identifiers 1

IdentifierTypeStateIssuer
0061735MedicaidNJ

Other names 1

  • Valsamma Mathai Former name

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
I20050912000028 NJ Practitioner - Nurse Practitioner 0042242109 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00074000NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital Group, Inc CurrentSince Oct 21, 2021 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 1, 2023 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 1, 2023 Accepting new patients
HMH Hospitals Corporation CurrentSince Mar 1, 2022 Accepting new patients
HMH Hospitals Corporation CurrentSince Mar 1, 2022 Accepting new patients
Community Hospital Group, Inc. CurrentSince Oct 21, 2021 Accepting new patients
Community Hospital Group Inc Current Accepting new patients
Community Hospital Group, Inc Past Accepting new patients
Community Hospital Group, Inc Past Accepting new patients

Locations

65 James St
Edison, NJ 08820
Phone (732) 321-7010

225 May St
Ste F
Edison, NJ 08837
Phone (732) 738-1224

65 James St
Lot G
Edison, NJ 08820
Phone (732) 321-7487

98 James St
Fl 4
Edison, NJ 08820
Phone (732) 321-7907

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

Interoperability endpoints

  • Direct secure messaging: valsamma.joseph@direct.hackensackmeridian.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 9

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1104860170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MAY ST",
            "address_2": "SUITE F",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373266",
            "telephone_number": "732-738-8855",
            "fax_number": "732-738-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MAY ST",
            "address_2": "SUITE F",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373266",
            "telephone_number": "732-738-8855",
            "fax_number": "732-738-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "VALSAMMA",
        "name_prefix": "Mrs.",
        "credential": "ANP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00074000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0061735",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VALSAMMA",
            "last_name": "MATHAI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.