Individual provider Active NPI

Ernst Renondeau, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Edison, NJ
National Provider Identifier
1134714546
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ01208900 Issued in NJ
Practice address
6 Kilmer Rd Ste B
Edison, NJ 08817-2432
Phone
(640) 266-4033
Fax
(225) 254-3474
NPI assigned
Mar 8, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26NR15639000 NJ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ01208900 NJ Primary

Addresses

Primary practice location

6 Kilmer Rd Ste B
Edison, NJ 08817-2432

Mailing address

244 Hendrickson Ave
Edgewater Park, NJ 08010-2024
Phone (609) 575-8483

Other practice location 1

2 Split Rock Dr Ste 5
Cherry Hill, NJ 08003-1244
Phone (833) 494-6724

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
I20220421002701 NJ Practitioner - Nurse Practitioner 8527455567 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Oaks Integrated CareGroup PAC ID 6709961857, 32 clinicians

Practice addresses (Care Compare)

19 E Ormond Ave
Cherry Hill, NJ 08034-2053
Phone (856) 428-1300

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Insite Medical NJ PA Psychiatric/Mental Health CurrentSince Mar 9, 2023 Accepting new patients
Grow Healthcare Group of New Jersey PC Psychiatric/Mental Health CurrentSince Jul 6, 2024 Accepting new patients
Oaks Integrated Care CurrentSince Jan 15, 2022 Accepting new patients
MBJ Psychiatric Nurse Practitioner LLC CurrentSince May 28, 2025 Accepting new patients
Insite Medical NJ PA PastSince May 1, 2024 Accepting new patients

Locations

19 E Ormond Ave
Cherry Hill, NJ 08034
Phone 85642813002302

2 Split Rock Dr
Ste 5
Cherry Hill, NJ 08003
Phone (833) 494-6724

6 Kilmer Rd
Ste B
Edison, NJ 08817
Phone (484) 505-6003

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

79 Chestnut St
Lumberton, NJ 08048
Phone (609) 518-5470

525 Route 73 N
Ste 302
Marlton, NJ 08053
Phone (833) 464-6724

770 Woodlane Rd
Westampton, NJ 08060
Phone (606) 267-5928

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26749/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1134714546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 HENDRICKSON AVE",
            "city": "EDGEWATER PARK",
            "state": "NJ",
            "postal_code": "080102024",
            "telephone_number": "609-575-8483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 KILMER RD STE B",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172432",
            "telephone_number": "640-266-4033",
            "fax_number": "225-254-3474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Split Rock Dr Ste 5",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080031244",
            "country_code": "US",
            "telephone_number": "833-494-6724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENONDEAU",
        "first_name": "ERNST",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-08",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR15639000",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01208900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.