Janet Henderson, APN
Individual provider Active NPI Family Nurse Practitioner · Keyport, NJ
NPI 1104869502 · NPPES record last updated May 8, 2018
Key facts
- NPI
- 1104869502
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 26NN11177600 (NJ)
- Practice address
- 35 Broad St
Keyport, NJ 07735-1267 - Phone
- (732) 888-4149
- Fax
- (732) 264-0799
- NPI assigned
- Jun 14, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Visiting Nurse Association of Central Jersey Community Health Center I
Practice addresses (Care Compare)
1301 Main St
Asbury Park, NJ 07712-5359
Phone (732) 774-6333
35 Broad St
Keyport, NJ 07735-1267
Phone (732) 888-4149
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110718000056 | NJ | Practitioner - Nurse Practitioner | 4880862929 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visiting Nurse Association of Central Jersey Community Health Center I | Current |
Accepting new patients | |
| Visiting Nurse Association of Central Jersey Community Health Center I | Current |
Accepting new patients | |
| HMH Hospitals Corporation | Past | Accepting new patients | |
| Monmouth Medical Center Inc | Past | Accepting new patients |
Locations
1301 Main St
Asbury Park, NJ 07712
Phone (732) 774-6333
35 Broad St
Keyport, NJ 07735
Phone (732) 888-4149
141 Bodman Pl
Red Bank, NJ 07701
Phone (732) 224-6842
Interoperability endpoints
- janet.henderson.p1@direct.vnahg.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NN11177600 | NJ | Yes |
Addresses
Primary practice location
35 Broad St
Keyport, NJ 07735-1267
Mailing address
35 Broad St
Keyport, NJ 07735-1267
Phone (732) 888-4155
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0119385 | Medicaid | NJ |
Other providers in Keyport, NJ
- Functional Diagnostics PC
- Allison Paige Hawkins
- Healthpoint Anesthesia Associates LLC
- Healthpoint Medical GRP. of Keyport
- Heathpoint Medical Group of Keyport, LLC
- Jacquelin Ann Hickey
- Tulika Hijli
- Kristina Marie Jeffrey
- Olubukola C Jemilugba
- Key Physmed PC
All providers in Keyport, NJ · Family Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.