Individual provider Active NPI

Luca Philip Jasper, DNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Short Hills, NJ
National Provider Identifier
1144087479
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ15072900 Issued in NJ
Practice address
51 JFK Pkwy FL 1
Short Hills, NJ 07078-2713
Phone
(973) 404-0854
NPI assigned
Mar 4, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ15072900 NJ Primary

Addresses

Primary practice location

51 JFK Pkwy FL 1
Short Hills, NJ 07078-2713

Mailing address

3 Manrodt CT
Kinnelon, NJ 07405-3309
Phone (973) 464-7159

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
I20240820003743 NJ Practitioner - Nurse Practitioner 6901344076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nynj Psychiatric Associates LLCGroup PAC ID 2961689989, 38 clinicians

Practice addresses (Care Compare)

51 JFK Pkwy
Short Hills, NJ 07078-2704
Phone (917) 582-6622

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ15072900NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nynj Psychiatric Associates LLC CurrentSince Jul 1, 2024 Accepting new patients

Locations

395 Grand St
Jersey City, NJ 07302
Phone (201) 915-2600

Organizations & group practices 1

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": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1144087479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MANRODT CT",
            "city": "KINNELON",
            "state": "NJ",
            "postal_code": "074053309",
            "telephone_number": "973-464-7159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 JFK PKWY FL 1",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070782713",
            "telephone_number": "973-404-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASPER",
        "first_name": "LUCA",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "DNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15072900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Short Hills, NJ

Sources for this page

Verify at the official NPI Registry.