Individual provider Active NPI

Joan Alys Ferrelli, APRN,BC

  • Family Nurse Practitioner
  • Wall Township, NJ
National Provider Identifier
1114955424
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00117700 Issued in NJ
Practice address
3010 Hurley Pond Rd
Wall Township, NJ 07719-4516
Phone
(732) 681-0288
NPI assigned
Jun 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 26NJ00117700 NJ Primary
Family Nurse Practitioner 363LF0000X 332851 NY

Addresses

Primary practice location

3010 Hurley Pond Rd
Wall Township, NJ 07719-4516

Mailing address

3010 Hurley Pond Rd
Wall Township, NJ 07719-4516
Phone (732) 681-0288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110208000708 NJ Practitioner - Nurse Practitioner 1355521337 Reassigns benefits to 2 organizations
I20231106002224 NY Practitioner - Nurse Practitioner 1355521337

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
332851NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony Medical Services of New Jersey LLC CurrentSince Sep 1, 2025 Accepting new patients
Harmony Medical Services of New Jersey LLC Current Accepting new patients
East Orange Vamc PastSince Dec 1, 2021 Accepting new patients

Locations

28 Valley Rd
Montclair, NJ 07042
Phone (908) 451-8519

Organizations & group practices 4

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114955424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 HURLEY POND RD",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077194516",
            "telephone_number": "732-681-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 HURLEY POND RD",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077194516",
            "telephone_number": "732-681-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRELLI",
        "first_name": "JOAN",
        "middle_name": "ALYS",
        "credential": "APRN,BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00117700",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "332851",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wall Township, NJ

Sources for this page

Verify at the official NPI Registry.