Individual provider Active NPI

Jennifer Lynn Garrison, APN

  • Primary Care Nurse Practitioner
  • Neptune, NJ
National Provider Identifier
1194295378
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
26NJ00880200 Issued in NJ
Practice address
332 Timber Ridge CT
Neptune, NJ 07753-3027
Phone
(908) 403-4689
NPI assigned
Nov 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00880200 NJ
Primary Care Nurse Practitioner 363LP2300X 26NJ00880200 NJ Primary

Addresses

Primary practice location

332 Timber Ridge CT
Neptune, NJ 07753-3027

Mailing address

332 Timber Ridge CT
Neptune, NJ 07753-3027
Phone (908) 403-4689

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190402000807 NJ Practitioner - Nurse Practitioner 5991046971 Reassigns benefits to 3 organizations
I20250502000523 NY Practitioner - Nurse Practitioner 5991046971 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00880200NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centrastate Specialists, P.C. Nurse Practitioner CurrentSince Feb 1, 2021 Accepting new patients
Woundworks LLC Nurse Practitioner CurrentSince Dec 30, 2024 Accepting new patients
Renew Wound Care of New Jersey LLC CurrentSince Mar 23, 2021 Accepting new patients
Ocean NP in Family Health PLLC CurrentSince Mar 26, 2025 Accepting new patients

Locations

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

1481 McDonald Ave
Brooklyn, NY 11230
Phone (347) 479-1110

475 New Hempstead Rd
New City, NY 10956
Phone (347) 829-6863

Interoperability endpoints

  • Direct secure messaging: jennifer.garrison@direct.hackensackmeridian.org

Organizations & group practices 4

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": "1543449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1194295378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 TIMBER RIDGE CT",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077533027",
            "telephone_number": "908-403-4689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 TIMBER RIDGE CT",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077533027",
            "telephone_number": "908-403-4689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRISON",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-29",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00880200",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ00880200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

Verify at the official NPI Registry.