Individual provider Active NPI

Jann Amery Abrenica

  • Adult Health Nurse Practitioner
  • Clifton, NJ
National Provider Identifier
1194381962
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00913900 Issued in NJ
Practice address
871 Allwood Rd Ste 2
Clifton, NJ 07012-1944
Phone
(973) 405-5163
NPI assigned
May 16, 2019
Last updated
Jul 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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 26NJ00913900 NJ Primary

Addresses

Primary practice location

871 Allwood Rd Ste 2
Clifton, NJ 07012-1944

Mailing address

31 Jefferson Ave Apt 2
Bloomfield, NJ 07003-6422

Other practice location 1

200 Boyden Ave Apt 134
Maplewood, NJ 07040-2486
Phone (973) 444-9529

Other practice location 2

1700 NJ-3
Clifton, NJ 07013
Phone (862) 249-4901

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
I20191017000628 NJ Practitioner - Nurse Practitioner 7618208950 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Villagehealth DM LLCGroup PAC ID 2769812445, 161 clinicians

Practice addresses (Care Compare)

14 -20 Prospect St
East Orange, NJ 07017-2238
Phone (973) 672-2025

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.51 of 100Reported as apm
Quality
84.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00913900NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group PC CurrentSince Jun 26, 2023 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Jun 26, 2023 Accepting new patients
Smart Care Solutions, LLC Adult Health PastSince Aug 2, 2020 Accepting new patients

Locations

256 Broad St
Bloomfield, NJ 07003
Phone (973) 615-7700

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

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

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1194381962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 JEFFERSON AVE APT 2",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070036422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 ALLWOOD RD STE 2",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121944",
            "telephone_number": "973-405-5163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Boyden Ave Apt 134",
            "address_purpose": "LOCATION",
            "city": "Maplewood",
            "state": "NJ",
            "postal_code": "070402486",
            "country_code": "US",
            "telephone_number": "973-444-9529",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 NJ-3",
            "address_purpose": "LOCATION",
            "city": "Clifton",
            "state": "NJ",
            "postal_code": "07013",
            "country_code": "US",
            "telephone_number": "862-249-4901",
            "fax_number": "973-928-2650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABRENICA",
        "first_name": "JANN AMERY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-16",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00913900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.