Active NPI
Jennifer Nicole Gibson, APRN
- Family Nurse Practitioner
- Toms River, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ14898400
- Practice address
- 477 Lakehurst Rd
Toms River, NJ 08755-6342 - Phone
- (732) 349-4422
- NPI assigned
- Nov 24, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ14898400 | NJ | Primary |
Addresses
Primary practice location
477 Lakehurst Rd
Toms River, NJ 08755-6342
Mailing address
1203 Bullard Ave
Forked River, NJ 08731-4430
Phone (732) 546-8715
Other practice location 1
99 Highway 37
Toms River, NJ 08755-6423
Phone (732) 557-8000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1944 Route 33
Neptune, NJ 07753
Phone (732) 776-3787
1945 Route 33
Neptune, NJ 07753
3600 Route 66
FL 3
Neptune, NJ 07753
425 Jack Martin Blvd
Brick, NJ 08724-7732
Phone (732) 836-4504
477 Lakehurst Rd
Toms River, NJ 08755-6342
Phone (732) 349-4422
Hospital & facility affiliations
- Ocean Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ14898400 | NJ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Allied Digestive Health, LLC | Current | Accepting new patients | |
| Gastroenterologists of Ocean County PA | Past | Accepting new patients | |
| Atlantic Coast Gastroenterology Associates | Past | Accepting new patients |
Locations
939 Lacey Rd
Forked River, NJ 08731
Phone (609) 971-5949
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
1944 State Route 33
Neptune, NJ 07753
Phone (732) 776-3787
42 Throckmorton Ln
Old Bridge, NJ 08857
Phone (732) 607-1111
99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000
473 Lakehurst Rd
Toms River, NJ 08755
Phone (732) 349-4422
477 Lakehurst Rd
Toms River, NJ 08755
Phone (732) 349-4422
1640 Route 88 W
Ste 202
Wall Township, NJ 08724
Phone (732) 370-2220
1617 State Highway 88
Wall Township, NJ 08724
Phone (732) 458-5854
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IHJHBD
Organizations & group practices 5
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.
-
- Gastroenterology Physician
- West Long Beach, NJ
- NPI 1265831259
-
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
-
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
-
- Gastroenterology Physician
- Brick, NJ
- NPI 1679512578
-
- Gastroenterology Physician
- Toms River, NJ
- NPI 1861551624
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brick, NJ
- NPI 1477065126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700784000000",
"number": "1174398796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1203 BULLARD AVE",
"city": "FORKED RIVER",
"state": "NJ",
"postal_code": "087314430",
"telephone_number": "732-546-8715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "477 LAKEHURST RD",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087556342",
"telephone_number": "732-349-4422"
}
],
"practiceLocations": [
{
"address_1": "99 Highway 37",
"address_purpose": "LOCATION",
"city": "Toms River",
"state": "NJ",
"postal_code": "087556423",
"country_code": "US",
"telephone_number": "732-557-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIBSON",
"first_name": "JENNIFER",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-24",
"last_updated": "2023-11-24",
"certification_date": "2023-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ14898400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toms River, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.