Individual provider Active NPI

Primerose Germain, FNP-BC

  • Family Nurse Practitioner
  • East Orange, NJ
National Provider Identifier
1164911384
Registry record updated May 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00721500 Issued in NJ
Practice address
134 Evergreen PL Ste 100
East Orange, NJ 07018-2019
Phone
(973) 667-2221
Fax
(877) 480-5458
NPI assigned
May 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2018

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 26NJ00721500 NJ Primary

Addresses

Primary practice location

134 Evergreen PL Ste 100
East Orange, NJ 07018-2019

Mailing address

26 Grandview Ave
North Caldwell, NJ 07006-4705
Phone (908) 398-1170

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
I20190506002117 NJ Practitioner - Nurse Practitioner 2961744271 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Heart Center of the OrangesGroup PAC ID 7517950645, 41 clinicians

Practice addresses (Care Compare)

60 Evergreen PL
Suite 400
East Orange, NJ 07018-2120
Phone (973) 395-1550

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00721500NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Heart Center of the Oranges CurrentSince Jul 24, 2023 Accepting new patients
Newark Community Health Centers, Inc CurrentSince May 1, 2019 Accepting new patients
Newark Community Health Centers, Inc. Current Accepting new patients

Locations

60 Evergreen Pl
Ste 400
East Orange, NJ 07018

741 Broadway
Newark, NJ 07104
Phone (973) 483-1300

60 Vose Ave
South Orange, NJ 07079
Phone (973) 763-5200

92 Old Northfield Rd
West Orange, NJ 07052
Phone (973) 736-0885

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HBFIAA

Organizations & group practices 3

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": "1525305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525305600000",
    "number": "1164911384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 GRANDVIEW AVE",
            "city": "NORTH CALDWELL",
            "state": "NJ",
            "postal_code": "070064705",
            "telephone_number": "908-398-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 EVERGREEN PL STE 100",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182019",
            "telephone_number": "973-667-2221",
            "fax_number": "877-480-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERMAIN",
        "first_name": "PRIMEROSE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-03",
        "last_updated": "2018-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00721500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

Verify at the official NPI Registry.