Individual provider Active NPI

Barbara Raymond, APN

  • Primary Care Nurse Practitioner
  • Union, NJ
National Provider Identifier
1164046355
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
26NJ01036700 Issued in NJ
Practice address
776 Nixon Rd
Union, NJ 07083-7620
Phone
(732) 937-3806
NPI assigned
Jun 3, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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 26NJ01036700 NJ Primary

Addresses

Primary practice location

776 Nixon Rd
Union, NJ 07083-7620

Mailing address

776 Nixon Rd
Union, NJ 07083-7620
Phone (732) 937-3806

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address BarbaraRaymond@me.com

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
I20230502002697 NJ Practitioner - Nurse Practitioner 4789049461 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ01036700NJMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Service Professionals of NJ LLC CurrentSince Aug 9, 2024 Accepting new patients

Locations

30 Montgomery St
Fl 15
Jersey City, NJ 07302
Phone (551) 247-1029

125 Chubb Ave
Ste 100S
Lyndhurst, NJ 07071
Phone (201) 559-7600

Interoperability endpoints

  • Direct secure messaging: barbara.raymond.1@24114.direct.athenahealth.com

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": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1164046355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776 NIXON RD",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070837620",
            "telephone_number": "732-937-3806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776 NIXON RD",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070837620",
            "telephone_number": "732-937-3806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYMOND",
        "first_name": "BARBARA",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-03",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ01036700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BarbaraRaymond@me.com",
            "affiliation": "N",
            "address_1": "776 Nixon Rd",
            "city": "Union",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070837620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

Verify at the official NPI Registry.