Individual provider Active NPI

Rachel Hollywood, APN

  • Family Nurse Practitioner
  • Ocean, NJ
National Provider Identifier
1124498415
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00589300 Issued in NJ
Practice address
1400 Highway 35 Ste 1
Ocean, NJ 07712-3548
Phone
(732) 531-5509
NPI assigned
Sep 30, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00589300 NJ Primary

Addresses

Primary practice location

1400 Highway 35 Ste 1
Ocean, NJ 07712-3548

Mailing address

1400 Highway 35 Ste 1
Ocean, NJ 07712-3548
Phone (732) 531-5509

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
I20151116000485 NJ Practitioner - Nurse Practitioner 5294045662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Family Medicine Institute CorporationGroup PAC ID 8527017284, 4 clinicians

Practice addresses (Care Compare)

2446 Church Rd
Suite 1D
Toms River, NJ 08753-8182
Phone (732) 255-3636

Hospital & facility affiliations

  • Ocean Medical Center Hospital, Brick, NJ, CCN 310052

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Family Medicine Institute Corporation CurrentSince Jan 15, 2022 Accepting new patients
Jersey Shore Monmouth Family Medicine Group P C PastSince Sep 28, 2015 Accepting new patients

Locations

2446 Church Rd
Ste 1D
Toms River, NJ 08753
Phone (732) 255-3636

Organizations & group practices 2

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": "1443571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443571200000",
    "number": "1124498415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 HIGHWAY 35 STE 1",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077123548",
            "telephone_number": "732-531-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 HIGHWAY 35 STE 1",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077123548",
            "telephone_number": "732-531-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLYWOOD",
        "first_name": "RACHEL",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-30",
        "last_updated": "2015-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00589300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean, NJ

Sources for this page

Verify at the official NPI Registry.