Active NPI
Nicole Demerchant, CNM
- Midwife
- Colonia, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 25ME00067400
- Practice address
- 4 Wyda CT
Colonia, NJ 07067-1918 - Phone
- (732) 801-7892
- NPI assigned
- Dec 31, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 25ME00067400 | NJ | |
| Midwife | 176B00000X | 25ME00067400 | NJ | Primary |
Addresses
Primary practice location
4 Wyda CT
Colonia, NJ 07067-1918
Mailing address
254 Easton Ave
New Brunswick, NJ 08901-1766
Phone (732) 336-7879
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190722000156 | NJ | Practitioner - Certified Nurse Midwife (CNM) | 1052647633 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.4 of 100
- Quality
- 70.64
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25ME00067400 | NJ | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rutgers Health-RWJ Scleroderma Program | Current | Accepting new patients | |
| Rutgers Health-RWJ Pediatric Critical Care | Current | Accepting new patients | |
| Rutgers Health-RWJ Pediatric Critical Care | Current | Accepting new patients | |
| Rutgers Health-RWJ Scleroderma Program | Current | Accepting new patients | |
| Rutgers Health-RWJ Scleroderma Program | Current | Accepting new patients | |
| Rutgers Health-RWJ Scleroderma Program | Current | Accepting new patients | |
| Rutgers Health-RWJ Scleroderma Program | Past | Accepting new patients |
Locations
1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887
254 Easton Ave
New Brunswick, NJ 08901
Phone (732) 565-5453
125 Paterson St
Ste 5100
New Brunswick, NJ 08901
Phone (732) 235-7060
125 Paterson St
Ste 6100
New Brunswick, NJ 08901
Phone (732) 235-6561
125 Paterson St
Ste 4200
New Brunswick, NJ 08901
Phone (732) 235-6600
125 Paterson St
New Brunswick, NJ 08901
Phone (732) 235-6511
Interoperability endpoints
- ndemerchant130751@epicdirect.rwjbh.org
Organizations & group practices 7
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.
-
- Family Medicine Physician
- New Brunswick, NJ
- NPI 1780766527
NJ
-
- Allergy & Immunology (Internal Medicine) Physician
- New Brunswick, NJ
- NPI 1679655781
NJ
-
- Emergency Medical Services (Emergency Medicine) Physician
- New Brunswick, NJ
- NPI 1952332546
-
- Psychiatry Physician
- Piscataway, NJ
- NPI 1033207378
-
- Maternal & Fetal Medicine Physician
- Somerville, NJ
- NPI 1750453346
-
- Obstetrics & Gynecology Physician
- New Brunswick, NJ
- NPI 1790726149
-
- Allergy & Immunology Physician
- New Brunswick, NJ
- NPI 1619059011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712793600000",
"number": "1275005381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "254 EASTON AVE",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089011766",
"telephone_number": "732-336-7879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 WYDA CT",
"city": "COLONIA",
"state": "NJ",
"postal_code": "070671918",
"telephone_number": "732-801-7892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMERCHANT",
"first_name": "NICOLE",
"name_prefix": "Ms.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-31",
"last_updated": "2024-04-11",
"certification_date": "2022-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NJ",
"license": "25ME00067400",
"primary": false
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "NJ",
"license": "25ME00067400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colonia, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.