Individual provider Active NPI

June Mayer, RN

  • Adult Health Nurse Practitioner
  • Bloomfield, NJ
National Provider Identifier
1174571335
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
NR47951 Issued in NJ
Practice address
255 Broad St
Bloomfield, NJ 07003-2724
Phone
(973) 743-2455
Fax
(973) 743-1113
NPI assigned
May 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X NR47951 NJ Primary

Addresses

Primary practice location

255 Broad St
Bloomfield, NJ 07003-2724

Mailing address

66 Somme St
Newark, NJ 07105-3612
Phone (973) 522-0006

Other identifiers 1

IdentifierTypeStateIssuer
7449402MedicaidNJ

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
I20110127000911 NJ Practitioner - Nurse Practitioner 5597944132 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
West Hudson Pulmonary Associates CorpcGroup PAC ID 1951456060, 7 clinicians

Practice addresses (Care Compare)

816 Kearny Ave
Kearny, NJ 07032-3148
Phone (201) 991-4544

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NR47951NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group PC CurrentSince Sep 15, 2012 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Sep 15, 2012 Accepting new patients
West Hudson Pulmonary Associates Corpc CurrentSince Sep 23, 2017 Accepting new patients

Locations

816 Kearny Ave
Kearny, NJ 07032
Phone (201) 991-4544

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

120 Millburn Ave
Ste 204
Millburn, NJ 07041
Phone (973) 379-5701

25 Locust Ave
North Arlington, NJ 07031
Phone (201) 246-1111

181 Franklin Ave
Nutley, NJ 07110
Phone (973) 667-0995

181 Franklin Ave
Ste 204
Nutley, NJ 07110
Phone (973) 667-0995

181 Franklin Ave
Ste 304
Nutley, NJ 07110
Phone (973) 667-6660

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174571335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 SOMME ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071053612",
            "telephone_number": "973-522-0006",
            "fax_number": "973-522-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 BROAD ST",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070032724",
            "telephone_number": "973-743-2455",
            "fax_number": "973-743-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYER",
        "first_name": "JUNE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "NR47951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7449402",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, NJ

Sources for this page

Verify at the official NPI Registry.