Individual provider Active NPI

Joshua D Oderanti, DNP, APN, FNP-BC

  • Family Nurse Practitioner
  • Edison, NJ
National Provider Identifier
1114441102
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00748700 Issued in NJ
Practice address
34-36 Progress St Ste B2
Edison, NJ 08820-1197
Phone
(908) 757-9696
Fax
(908) 757-9721
NPI assigned
Aug 1, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00748700 NJ
Family Nurse Practitioner 363LF0000X 26NJ00748700 NJ Primary

Addresses

Primary practice location

34-36 Progress St Ste B2
Edison, NJ 08820-1197

Mailing address

J2 Brier Hill CT
East Brunswick, NJ 08816-3340
Phone (732) 390-7750

Other practice location 1

1 Robert Wood Johnson Pl Rm 288
New Brunswick, NJ 08901-1928
Phone (732) 235-8933

Other practice location 2

166 Lyons Ave
Newark, NJ 07112-2016
Phone (973) 926-2629

Other identifiers 1

IdentifierTypeStateIssuer
1790396281OtherNJTITAN HEALTH GROUP NPI#

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
I20171116001845 NJ Practitioner - Nurse Practitioner 6002172590 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

803 Kenilworth Blvd
Suite 220
Kenilworth, NJ 07033-1719
Phone (973) 520-7322

Hospital & facility affiliations

  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vantage Health System, Inc. CurrentSince Apr 1, 2022 Accepting new patients
Titan Health Partners LLC CurrentSince Nov 19, 2021 Accepting new patients
Restored Mental Health Services Family CurrentSince Oct 1, 2022 Accepting new patients
Vantage Health System, Inc CurrentSince Apr 1, 2022 Accepting new patients
Titan Health Partners LLC CurrentSince Nov 19, 2021 Accepting new patients

Locations

2 Park Ave
Dumont, NJ 07628
Phone (201) 385-4400

J2 Brier Hill Ct
East Brunswick, NJ 08816
Phone 73239077500219

34-36 Progress St
Ste B
Edison, NJ 08820

34-36 Progress St
Ste B2
Edison, NJ 08820
Phone (908) 757-9696

93 W Palisade Ave
Englewood, NJ 07631
Phone (201) 385-4400

803 Kenilworth Blvd
Kenilworth, NJ 07033
Phone (862) 588-6125

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1114441102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "J2 BRIER HILL CT",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163340",
            "telephone_number": "732-390-7750",
            "fax_number": "732-390-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34-36 PROGRESS ST STE B2",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201197",
            "telephone_number": "908-757-9696",
            "fax_number": "908-757-9721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Robert Wood Johnson Pl Rm 288",
            "address_purpose": "LOCATION",
            "city": "New Brunswick",
            "state": "NJ",
            "postal_code": "089011928",
            "country_code": "US",
            "telephone_number": "732-235-8933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "166 Lyons Ave",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071122016",
            "country_code": "US",
            "telephone_number": "973-926-2629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODERANTI",
        "first_name": "JOSHUA",
        "middle_name": "D",
        "credential": "DNP, APN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-01",
        "last_updated": "2023-10-04",
        "certification_date": "2021-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00748700",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00748700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TITAN HEALTH GROUP NPI#",
            "identifier": "1790396281",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.