Individual provider Active NPI

Laura Beatriz Feratovic, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • Jersey City, NJ
National Provider Identifier
1235653189
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00733700 Issued in NJ
Practice address
525 Monmouth St
Jersey City, NJ 07302-1527
Phone
(201) 957-2146
Fax
(732) 384-2802
NPI assigned
Aug 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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 26NJ00733700 NJ Primary

Addresses

Primary practice location

525 Monmouth St
Jersey City, NJ 07302-1527

Mailing address

17 Pearsall Ave
Jersey City, NJ 07305-4718
Phone (551) 697-9380

Other practice location 1

6045 Kennedy Blvd Ste B
North Bergen, NJ 07047
Phone (201) 453-0322

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
I20180425001043 NJ Practitioner - Nurse Practitioner 5698039782 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clare Medical of New Jersey LLC CurrentSince Nov 1, 2021 Accepting new patients
Palisades Medical Associates LLC CurrentSince Mar 11, 2018 Accepting new patients

Locations

137 High St
Ste 2A
Mount Holly, NJ 08060
Phone (609) 447-3442

7600 River Rd
North Bergen, NJ 07047
Phone (201) 854-5000

6045 Kennedy Blvd
Ste B
North Bergen, NJ 07047
Phone (201) 453-0322

1 Marine Plz
Ste 206
North Bergen, NJ 07047
Phone (201) 710-2772

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11700/brand/1/csg/1/fhir/r4

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": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1235653189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 PEARSALL AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073054718",
            "telephone_number": "551-697-9380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 MONMOUTH ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073021527",
            "telephone_number": "201-957-2146",
            "fax_number": "732-384-2802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6045 Kennedy Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "North Bergen",
            "state": "NJ",
            "postal_code": "07047",
            "country_code": "US",
            "telephone_number": "201-453-0322",
            "fax_number": "201-453-0325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERATOVIC",
        "first_name": "LAURA",
        "middle_name": "BEATRIZ",
        "name_prefix": "Mrs.",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-02",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00733700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.