Individual provider Active NPI

Jennifer Malabre, FHNP

  • Nurse Practitioner
  • Newark, NJ
National Provider Identifier
1174108419
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ01121600 Issued in NJ
Practice address
92 Ferry St
Newark, NJ 07105-1817
Phone
(973) 803-4510
NPI assigned
Mar 17, 2021
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ01121600 NJ Primary

Addresses

Primary practice location

92 Ferry St
Newark, NJ 07105-1817

Mailing address

92 Ferry St
Newark, NJ 07105-1817
Phone (973) 803-4510

Other names 1

  • Ms. Jennifer Malabre Professional name

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
I20221129001114 NJ Practitioner - Nurse Practitioner 1850769621 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ01121600NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Newark Community Health Centers, Inc CurrentSince Nov 1, 2022 Accepting new patients
Newark Community Health Centers, Inc. CurrentSince Mar 12, 2023 Accepting new patients

Locations

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

92 Ferry St
Newark, NJ 07105
Phone (973) 803-4510

Interoperability endpoints

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

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1174108419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 FERRY ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071051817",
            "telephone_number": "973-803-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 FERRY ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071051817",
            "telephone_number": "973-803-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALABRE",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "FHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-17",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ01121600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MALABRE",
            "prefix": "MS.",
            "credential": "FHNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.