Individual provider Active NPI

Valerie Hannah Shander, CRNP

  • Family Nurse Practitioner
  • New Brunswick, NJ
National Provider Identifier
1205134533
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00650600 Issued in NJ
Practice address
240 Easton Ave FL 3
New Brunswick, NJ 08901-1723
Phone
(732) 846-3300
Fax
(732) 846-3323
NPI assigned
Mar 10, 2011
Last updated
Apr 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00650600 NJ Primary
Family Health Clinical Nurse Specialist 364SF0001X R191337 MD

Addresses

Primary practice location

240 Easton Ave FL 3
New Brunswick, NJ 08901-1723

Mailing address

J2 Brier Hill CT
East Brunswick, NJ 08816-3340
Phone (732) 390-7750

Other practice location 1

J2 Brier Hill Ct
East Brunswick, NJ 08816-3340
Phone (732) 390-7750

Other identifiers 1

IdentifierTypeStateIssuer
1790396281OtherNJTITAN HEALTH GROUP NPI#

Other names 1

  • Valerie Hannah Alexander Former name

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
I20161005000809 NJ Practitioner - Nurse Practitioner 9638356264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

195 Little Albany St
New Brunswick, NJ 08901-1914
Phone (732) 235-2465

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.4 of 100Reported as group
Quality
70.64
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers Health-RWJ Scleroderma Program CurrentSince Feb 1, 2023 Accepting new patients
Rutgers Health-RWJ Scleroderma Program Current Accepting new patients
Rutgers Health-RWJ Scleroderma Program CurrentSince Feb 1, 2023 Accepting new patients

Locations

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

125 Paterson St
Ste 5100
New Brunswick, NJ 08901
Phone (732) 235-7060

125 Paterson St
Ste 6100
New Brunswick, NJ 08901
Phone (732) 235-6561

195 Little Albany St
New Brunswick, NJ 08901
Phone (732) 235-2465

Interoperability endpoints

  • Direct secure messaging: vshander104420@epicdirect.rwjbh.org

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.

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": "1299715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1205134533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "J2 BRIER HILL CT",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163340",
            "telephone_number": "732-390-7750",
            "fax_number": "732-390-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 EASTON AVE FL 3",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011723",
            "telephone_number": "732-846-3300",
            "fax_number": "732-846-3323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "J2 Brier Hill Ct",
            "address_purpose": "LOCATION",
            "city": "East Brunswick",
            "state": "NJ",
            "postal_code": "088163340",
            "country_code": "US",
            "telephone_number": "732-390-7750",
            "fax_number": "732-390-7725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANDER",
        "first_name": "VALERIE",
        "middle_name": "HANNAH",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-10",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00650600",
            "primary": true
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "MD",
            "license": "R191337",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TITAN HEALTH GROUP NPI#",
            "identifier": "1790396281",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VALERIE",
            "last_name": "ALEXANDER",
            "middle_name": "HANNAH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.