Individual provider Active NPI

Christine Cowley

  • Nurse Practitioner
  • Blackwood, NJ
National Provider Identifier
1275243941
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ01400900 Issued in NJ
Practice address
42 Country Club Rd
Blackwood, NJ 08012-1804
Phone
(856) 340-9929
NPI assigned
Dec 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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 26NJ01400900 NJ Primary

Addresses

Primary practice location

42 Country Club Rd
Blackwood, NJ 08012-1804

Mailing address

42 Country Club Rd
Blackwood, NJ 08012-1804
Phone (856) 340-9929

Other names 1

  • Christine Durante Former name

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
I20230411002607 NJ Practitioner - Nurse Practitioner 7911372610 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRX Paramus, LLCGroup PAC ID 2466589585, 63 clinicians

Practice addresses (Care Compare)

67 E Ridgewood Ave
Unit C
Paramus, NJ 07652-3623
Phone (201) 262-2010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ01400900NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jersey Irish Medical CurrentSince Mar 1, 2023 Accepting new patients
The Radiology Group of New Jersey, LLC CurrentSince Jan 1, 2025 Accepting new patients
DRX Paramus, LLC CurrentSince Jul 1, 2023 Accepting new patients

Locations

601 W Union Ave
Bound Brook, NJ 08805
Phone (732) 469-3627

1410 Delsea Dr
Deptford, NJ 08096
Phone (856) 579-8897

651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161

67 E Ridgewood Ave
Unit C
Paramus, NJ 07652
Phone (201) 262-2010

214 State Route 36
West Long Branch, NJ 07764
Phone (732) 222-8000

1410 Delsea Dr
Fl 22
Woodbury, NJ 08096

Organizations & group practices 3

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": "1669939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1275243941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 COUNTRY CLUB RD",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080121804",
            "telephone_number": "856-340-9929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 COUNTRY CLUB RD",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080121804",
            "telephone_number": "856-340-9929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWLEY",
        "first_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-02",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ01400900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "DURANTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Blackwood, NJ

Sources for this page

Verify at the official NPI Registry.