Active NPI
Regina S Summers, RN
- Nurse Practitioner
- Perth Amboy, NJ
National Provider Identifier
1205299393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 26NO07429300
- Practice address
- 275 Hobart St
Perth Amboy, NJ 08861-3396 - Phone
- (732) 376-9333
- Fax
- (732) 324-5765
- NPI assigned
- Apr 5, 2016
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 26NO07429300 | NJ | Primary |
Addresses
Primary practice location
275 Hobart St
Perth Amboy, NJ 08861-3396
Mailing address
PO Box 1220
Attn: Credentialing/HR
Perth Amboy, NJ 08862-1220
Phone (732) 376-9333
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NO07429300 | NJ | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459814400000",
"number": "1205299393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1220",
"address_2": "ATTN: CREDENTIALING/HR",
"city": "PERTH AMBOY",
"state": "NJ",
"postal_code": "088621220",
"telephone_number": "732-376-9333",
"fax_number": "732-324-5765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 HOBART ST",
"city": "PERTH AMBOY",
"state": "NJ",
"postal_code": "088613396",
"telephone_number": "732-376-9333",
"fax_number": "732-324-5765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMMERS",
"first_name": "REGINA",
"middle_name": "S",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-05",
"last_updated": "2016-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "26NO07429300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Perth Amboy, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.