NP Xperience LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NP XPERIENCE LLC

Practice address

21 Angela Dr
Ste 202
Old Bridge, NJ 08857

Phone

(732) 908-4522

NPI assigned

May 11, 2022

Organization subpart

No

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

Authorized official

Name

Candice Robertson, NPNPI 1083157291

Title

Owner/NP

Phone

(732) 908-4522

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25920/brand/1/csg/1/fhir/r4

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Candice Robertson, MSN, APN, NP-C

  • Family Nurse Practitioner
  • Old Bridge, NJ
  • NPI 1083157291
  Medicare reassignment Care Compare group NPD Authorized official
• Vlada E Finch, M.D.

  • Family Medicine Physician
  • Old Bridge, NJ
  • NPI 1821380262
  Medicare reassignment Care Compare group NPD
• Mitesh Patel, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Marlton, NJ
  • NPI 1093987034
  Medicare reassignment NPD
• Shontal Raffington

  • Nurse Practitioner
  • Hackensack, NJ
  • NPI 1467826065
  Medicare reassignment NPD
• Keydella Fuller, APN

  • Family Nurse Practitioner
  • Jacksonville, FL
  • NPI 1053855809

  NJ

  Medicare reassignment NPD

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656547200000",
    "number": "1225774367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 ANGELA DR",
            "address_2": "STE 202",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "08857",
            "telephone_number": "732-908-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 ANGELA DR",
            "address_2": "STE 202",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "08857",
            "telephone_number": "732-908-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NP XPERIENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_title_or_position": "OWNER/NP",
        "authorized_official_telephone_number": "732-908-4522",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Jersey Podiatric Physicians & Surgeons Group LLC
• New Jersey Podiatric Physicians & Surgeons Group, LLC
• Jyoti Nigam, MD
• NJ - S Bogdan MD PC
• NJ Team Dental Center PA
• Oakwood Dental Adult and Pediatric Care of Old Bridge, LLC
• Ofure Oboh
• Ebitimi Florence Okoya-Wilcox, RPH
• Jonathan Okun, MD
• Old Bridge Center of Physical Therapy Inc

• Family Medicine Physician in Old Bridge, NJ
• Providers in Old Bridge, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.