Individual provider Active NPI

Elizabeth Noller

  • Primary Care Nurse Practitioner
  • Toms River, NJ
National Provider Identifier
1154878296
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
26NJ00664400 Issued in NJ
Practice address
99 Mount Matterhorn LN
Toms River, NJ 08753-1558
Phone
(856) 313-6571
NPI assigned
Sep 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 26NJ00664400 NJ Primary

Addresses

Primary practice location

99 Mount Matterhorn LN
Toms River, NJ 08753-1558

Mailing address

99 Mount Matterhorn LN
Toms River, NJ 08753-1558
Phone (856) 313-6571

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
I20170130000159 NJ Practitioner - Nurse Practitioner 6608158548 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fellowship Village IncGroup PAC ID 4880506310, 11 clinicians
Ocean County Family Care, P.a.Group PAC ID 6800881673, 4 clinicians
Somc Medical Group PCGroup PAC ID 4587799358, 28 clinicians

Practice addresses (Care Compare)

8000 Fellowship Rd
Basking Ridge, NJ 07920-3915
Phone (908) 580-3845

9 Mule Rd
Toms River, NJ 08755-5052
Phone (732) 370-4222

9 Mule Rd
Suite 11
Toms River, NJ 08755-5056
Phone (732) 797-1535

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Somc Medical Group PC CurrentSince Feb 1, 2017 Accepting new patients
Ocean County Family Care, P.a. CurrentSince Oct 24, 2016 Accepting new patients
Fellowship Village Inc. CurrentSince Jun 28, 2023 Accepting new patients
Fellowship Senior Living, Inc. CurrentSince Jun 28, 2023 Accepting new patients

Locations

8000 Fellowship Rd
Basking Ridge, NJ 07920
Phone (908) 580-3800

2125 Route 88 E
Brick, NJ 08724
Phone (732) 892-4548

27 S Cooks Bridge Rd
Ste 1-4
Jackson, NJ 08527
Phone (732) 364-3881

9 Mule Rd
Ste E10
Toms River, NJ 08755
Phone (732) 370-4222

9 Mule Rd
Ste 11
Toms River, NJ 08755
Phone (732) 797-1535

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19916/brand/1/csg/1/fhir/r4

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": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1154878296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 MOUNT MATTERHORN LN",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087531558",
            "telephone_number": "856-313-6571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 MOUNT MATTERHORN LN",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087531558",
            "telephone_number": "856-313-6571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLLER",
        "first_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ00664400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.