Individual provider Active NPI

Emanuella Crepin

  • Family Nurse Practitioner
  • Madison, NJ
National Provider Identifier
1275377491
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NR19475700 Issued in NJ
Practice address
285 Madison Ave
Madison, NJ 07940-1006
Phone
(973) 443-8500
NPI assigned
Jun 21, 2024
Last updated
Jun 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NR19475700 NJ Primary

Addresses

Primary practice location

285 Madison Ave
Madison, NJ 07940-1006

Mailing address

285 Madison Ave
Madison, NJ 07940-1006
Phone (973) 443-8500

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
I20250804003868 NJ Practitioner - Nurse Practitioner 8820506553 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Consensus Medical Group LLCGroup PAC ID 2961748181, 138 clinicians
Barnabas Health Medical Group PCGroup PAC ID 9537316955, 1,027 clinicians

Practice addresses (Care Compare)

105 Main St
Suite a
West Orange, NJ 07052-5421
Phone (973) 344-0900

741 Northfield Ave
Suite 205
West Orange, NJ 07052-1174
Phone (973) 467-1544

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NR19475700NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group PC CurrentSince Jan 1, 2026 Accepting new patients
Consensus Medical Group LLC CurrentSince Aug 4, 2025 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Jan 1, 2026 Accepting new patients

Locations

706 Bergen Ave
Ste 2
Jersey City, NJ 07306
Phone (201) 464-8888

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

404 Lippincott Dr
Marlton, NJ 08053

105 Main St
Ste A
West Orange, NJ 07052
Phone (973) 344-0900

741 Northfield Ave
Ste 205
West Orange, NJ 07052
Phone (973) 467-1544

Interoperability endpoints

  • Direct secure messaging: emanuella.crepin.1@18614.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1718928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1275377491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 MADISON AVE",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079401006",
            "telephone_number": "973-443-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 MADISON AVE",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079401006",
            "telephone_number": "973-443-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREPIN",
        "first_name": "EMANUELLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NR19475700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, NJ

Sources for this page

Verify at the official NPI Registry.