Individual provider Active NPI

Karen Mae P Enriquez

  • Nurse Practitioner
  • Jersey City, NJ
National Provider Identifier
1275407900
Registry record updated Oct 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ15414100 Issued in NJ
Practice address
263 Grand St
Jersey City, NJ 07302-4317
Phone
(201) 992-8290
NPI assigned
Oct 4, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2025

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 26NJ15414100 NJ Primary

Addresses

Primary practice location

263 Grand St
Jersey City, NJ 07302-4317

Mailing address

102 Drake Rd
Somerset, NJ 08873-2363
Phone (732) 789-0370

Other practice location 1

46 S Park St
Montclair, NJ 07042-2716
Phone (973) 251-5960

Other practice location 2

770 Morris Tpke Ste 111
Short Hills, NJ 07078-2699
Phone (908) 275-5430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
26NJ15414100NJMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1759536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759536000000",
    "number": "1275407900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 DRAKE RD",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088732363",
            "telephone_number": "732-789-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 GRAND ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073024317",
            "telephone_number": "201-992-8290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "46 S Park St",
            "address_purpose": "LOCATION",
            "city": "Montclair",
            "state": "NJ",
            "postal_code": "070422716",
            "country_code": "US",
            "telephone_number": "973-251-5960",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "770 Morris Tpke Ste 111",
            "address_purpose": "LOCATION",
            "city": "Short Hills",
            "state": "NJ",
            "postal_code": "070782699",
            "country_code": "US",
            "telephone_number": "908-275-5430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENRIQUEZ",
        "first_name": "KAREN MAE",
        "middle_name": "P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-04",
        "last_updated": "2025-10-04",
        "certification_date": "2025-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ15414100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.