Active NPI
Naom Nyamoita Mongare
- Family Nurse Practitioner
- Jersey City, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ01160000
- Practice address
- 377 Jersey Ave
Jersey City, NJ 07302-4393 - Phone
- (201) 744-9306
- NPI assigned
- Aug 16, 2021
- Last updated
- Aug 16, 2021
- 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 | 26NJ01160000 | NJ | Primary |
Addresses
Primary practice location
377 Jersey Ave
Jersey City, NJ 07302-4393
Mailing address
15 Suburbia Dr # 2
Jersey City, NJ 07305-1253
Phone (201) 889-2109
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, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
103 Carnegie Ctr
Suite 300
Princeton, NJ 08540-6235
Phone (888) 964-6681
377 Jersey Ave
Suite 590
Jersey City, NJ 07302-4691
Phone (201) 744-9306
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HDC Care Solutions, LLC | Family | Current | Accepting new patients |
| Value Based Long Term Care H PC | Current | Accepting new patients | |
| Healthdrive Medical Services Southeast LLC | Family | Current | Accepting new patients |
| Community Primary Care, PC | Current | Accepting new patients |
Locations
377 Jersey Ave
Ste 590
Jersey City, NJ 07302
Phone (201) 744-9306
103 Carnegie Ctr
Ste 300
Princeton, NJ 08540
Phone (609) 524-2514
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GFFCDD
Organizations & group practices 6
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.
-
- Primary Care Clinic/Center
- Jersey City, NJ
- NPI 1821452053
-
- Geriatric Medicine (Internal Medicine) Physician
- Framingham, MA
- NPI 1134951676
NJ
-
- Nurse Practitioner
- Columbia, MD
- NPI 1437930146
Family, NJ
-
- Internal Medicine Physician
- Hammonton, NJ
- NPI 1205719820
-
- Geriatric Medicine (Internal Medicine) Physician
- Princess Anne, MD
- NPI 1871955807
NJ
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629072000000",
"number": "1184399644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 SUBURBIA DR # 2",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073051253",
"telephone_number": "201-889-2109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "377 JERSEY AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073024393",
"telephone_number": "201-744-9306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONGARE",
"first_name": "NAOM",
"middle_name": "NYAMOITA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-16",
"last_updated": "2021-08-16",
"certification_date": "2021-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ01160000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.