Individual provider Active NPI

Tzipora Gold Schiller, FNP

  • Family Nurse Practitioner
  • Freehold, NJ
National Provider Identifier
1174869069
Registry record updated Dec 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00410800 Issued in NJ
Practice address
3419 Route 9 N
Freehold, NJ 07728-3284
Phone
(732) 677-1200
NPI assigned
Dec 20, 2012
Last updated
Dec 20, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2012

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 26NJ00410800 NJ Primary

Addresses

Primary practice location

3419 Route 9 N
Freehold, NJ 07728-3284

Mailing address

9 Hekel Rd
Lakewood, NJ 08701-5263
Phone (732) 722-7655

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
I20140304001175 NJ Practitioner - Nurse Practitioner 6406086875 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
NLP Behavioral Services LLC CurrentSince Jan 1, 2017 Accepting new patients
Atlas Medical Care,LLC CurrentSince Apr 9, 2018 Accepting new patients
Trademark Services LLC Family Past Accepting new patients

Locations

1001 W Main St
Ste A
Freehold, NJ 07728
Phone (732) 354-3792

3419 US Highway 9
Freehold, NJ 07728
Phone (732) 677-1200

175 Bartley Rd
Jackson, NJ 08527
Phone 73236754001439

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, 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": "1355961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355961600000",
    "number": "1174869069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HEKEL RD",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015263",
            "telephone_number": "732-722-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3419 ROUTE 9 N",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077283284",
            "telephone_number": "732-677-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLD SCHILLER",
        "first_name": "TZIPORA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-20",
        "last_updated": "2012-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00410800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.