Individual provider Active NPI

Lauren Blann, CPNP

  • Pediatric Nurse Practitioner
  • Toms River, NJ
National Provider Identifier
1285603944
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
26NJ00095200 Issued in NJ
Practice address
94 Stevens Rd
Toms River, NJ 08755-1237
Phone
(732) 914-1100
NPI assigned
Mar 15, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 26NJ00095200 NJ Primary

Addresses

Primary practice location

94 Stevens Rd
Toms River, NJ 08755-1237

Mailing address

94 Stevens Rd
Toms River, NJ 08755-1237
Phone (732) 914-1100

Other identifiers 3

IdentifierTypeStateIssuer
3K3458OtherNJHEALTHNET
305555OtherNJAMERIGROUP
S51B01OtherNJEMPIRE

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
I20170302001025 NJ Practitioner - Nurse Practitioner 1557645926 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00095200NJMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Specialized Hospital CurrentSince Dec 27, 2016 Accepting new patients
Children' Specialized Hospital CurrentSince Dec 27, 2016 Accepting new patients
Childrens Specialized Hospital Past Accepting new patients

Locations

150 New Providence Rd
Mountainside, NJ 07092

200 Somerset St
New Brunswick, NJ 08901
Phone (732) 258-7000

94 Stevens Rd
Toms River, NJ 08755
Phone (732) 286-5005

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.

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285603944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 STEVENS RD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087551237",
            "telephone_number": "732-914-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 STEVENS RD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087551237",
            "telephone_number": "732-914-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANN",
        "first_name": "LAUREN",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "26NJ00095200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "3K3458",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "305555",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE",
            "identifier": "S51B01",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.