Individual provider Active NPI

Sharisa Lovick

  • Nurse Practitioner
  • Oceanport, NJ
National Provider Identifier
1215601307
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ01181800 Issued in NJ
Practice address
1075 Stephenson Ave
Oceanport, NJ 07757-1242
Phone
(732) 592-3400
NPI assigned
Aug 3, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ01181800 NJ Primary

Addresses

Primary practice location

1075 Stephenson Ave
Oceanport, NJ 07757-1242

Mailing address

3301 Autumn Dr
Tinton Falls, NJ 07753-7447
Phone (732) 337-7268

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
I20240412000150 NJ Practitioner - Nurse Practitioner 0345689212 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ01181800NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon of Life Central NJ CurrentSince Aug 18, 2024 Accepting new patients
Immediate Care Medical Walk-in of Hazlet, PA CurrentSince Apr 1, 2024 Accepting new patients

Locations

319 US Highway 130
East Windsor, NJ 08520
Phone (609) 426-4300

1376 State Route 36
Hazlet, NJ 07730
Phone (732) 264-5500

1075 Stephenson Ave
Oceanport, NJ 07757
Phone (732) 592-3400

1 Route 37 W
Toms River, NJ 08753
Phone (732) 281-3201

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": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1215601307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 AUTUMN DR",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077537447",
            "telephone_number": "732-337-7268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 STEPHENSON AVE",
            "city": "OCEANPORT",
            "state": "NJ",
            "postal_code": "077571242",
            "telephone_number": "732-592-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVICK",
        "first_name": "SHARISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ01181800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanport, NJ

Sources for this page

Verify at the official NPI Registry.