Teresa M Conklin, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NO09584600 Issued in NJ

Practice address

400 S Orange Ave
South Orange, NJ 07079-2646

Phone

(973) 761-9175

NPI assigned

Jun 5, 2009

Last updated

Jul 14, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: teresa.conklin@593314999828484.direct.elationemr.com

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.

• East Coast Medical Care LLC

  • Internal Medicine Physician
  • Toms River, NJ
  • NPI 1326699596
  Medicare reassignment NPD
• Garden State Internists LLC

  • Internal Medicine Physician
  • Freehold, NJ
  • NPI 1790448850
  Medicare reassignment NPD
• Manish Saini MD LLC

  • Internal Medicine Physician
  • Toms River, NJ
  • NPI 1699960674
  Medicare reassignment NPD
• Somdocs

  • Family Medicine Physician
  • Somerville, NJ
  • NPI 1508390832
  Medicare reassignment NPD
• Medical Care on Wheels LLC

  • Internal Medicine Physician
  • Toms River, NJ
  • NPI 1841841087
  NPD

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405296000000",
    "number": "1275769176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 W BLACKWELL ST",
            "city": "DOVER",
            "state": "NJ",
            "postal_code": "078013841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S ORANGE AVE",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792646",
            "telephone_number": "973-761-9175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONKLIN",
        "first_name": "TERESA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-05",
        "last_updated": "2014-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NO09584600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Behavior Consulting, LLC
• Community Options Enterprises, Inc.
• Community Options, Inc
• Community Options, Inc
• Comprehensive Home Care Services of NJ
• Connections Restored Therapy, LLC
• Maureen C Considine, OD
• Christina Conti, CCC-SLP
• Alison J. Costalos I, NP
• Mary Elizabeth Costello, NP

• Family Nurse Practitioner in South Orange, NJ
• Providers in South Orange, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; 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.

Verify at the official NPI Registry.