Individual provider Active NPI

Brenda J Myers, LPN

  • Licensed Practical Nurse
  • Newark, NJ
National Provider Identifier
1184511776
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
26NP06937900 Issued in NJ
Practice address
44 Jones St
Newark, NJ 07103-3021
Phone
(973) 878-9020
Fax
(888) 210-4703
NPI assigned
Jun 18, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 26NP06937900 NJ Primary

Addresses

Primary practice location

44 Jones St
Newark, NJ 07103-3021

Mailing address

50 Poplar Rd
Piscataway, NJ 08854-5253
Phone (732) 289-5520

Other practice location 1

2421 US Highway 1
North Brunswick, NJ 08902-4326
Phone (732) 297-6767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
26NP06937900NJMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Citylife Clinics NJ, PC CurrentSince Jun 23, 2025 Accepting new patients
PM Pediatrics of Livingston, PLLC Past Accepting new patients

Locations

44 Jones St
Newark, NJ 07103
Phone (973) 878-9020

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1184511776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 POPLAR RD",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088545253",
            "telephone_number": "732-289-5520",
            "fax_number": "732-289-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 JONES ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071033021",
            "telephone_number": "973-878-9020",
            "fax_number": "888-210-4703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2421 US Highway 1",
            "address_purpose": "LOCATION",
            "city": "North Brunswick",
            "state": "NJ",
            "postal_code": "089024326",
            "country_code": "US",
            "telephone_number": "732-297-6767",
            "fax_number": "732-297-6762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYERS",
        "first_name": "BRENDA",
        "middle_name": "J",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NJ",
            "license": "26NP06937900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.