Individual provider Active NPI

Merryl New Kolb, APN

  • Family Medicine Physician
  • Ocean, NJ
National Provider Identifier
1265906002
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26NJ00897200 Issued in NJ
Practice address
1025 Route 35
Ocean, NJ 07712-4079
Phone
(732) 531-8200
Fax
(732) 531-8201
NPI assigned
Jan 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 26NJ00897200 NJ Primary

Addresses

Primary practice location

1025 Route 35
Ocean, NJ 07712-4079

Mailing address

98 Cottage PL
Long Branch, NJ 07740-5708
Phone (732) 531-8200

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
I20191119000098 NJ Practitioner - Nurse Practitioner 0941632616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Active Care Solutions LLCGroup PAC ID 6800172271, 6 clinicians

Practice addresses (Care Compare)

285 Parker Rd
Eatontown, NJ 07724-9621
Phone (732) 229-3344

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00897200NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NJ Certified Dermatology PC Past Accepting new patients

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": "1547510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1265906002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 COTTAGE PL",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077405708",
            "telephone_number": "732-531-8200",
            "fax_number": "732-531-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 ROUTE 35",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077124079",
            "telephone_number": "732-531-8200",
            "fax_number": "732-531-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLB",
        "first_name": "MERRYL",
        "middle_name": "NEW",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-15",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "26NJ00897200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean, NJ

Sources for this page

Verify at the official NPI Registry.