Individual provider Active NPI

Anyi Hsueh, DNP, PMHNP-BC, CNM

  • Psychiatric/Mental Health Nurse Practitioner
  • Newark, NJ
National Provider Identifier
1295047447
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F403138 Issued in NY
Practice address
550 Broad St Ste 606
Newark, NJ 07102-4537
Phone
(201) 822-1161
Fax
(877) 485-8918
NPI assigned
Jul 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 7142503 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F403138 NY Primary

Addresses

Primary practice location

550 Broad St Ste 606
Newark, NJ 07102-4537

Mailing address

139 Centre St
Suite 709
New York, NY 10013-4408

Other practice location 1

306 Lenox Ave
New York, NY 10027-4465
Phone (917) 683-6813

Other practice location 2

139 Centre St
Suite 709
New York, NY 10013-4408
Phone (212) 965-0496

Other identifiers 1

IdentifierTypeStateIssuer
0920100MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110907000836 NY Practitioner - Nurse Practitioner 5991975625 Reassigns benefits to 3 organizations
I20220922001909 NJ Practitioner - Nurse Practitioner 5991975625 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
JLS Medical PCGroup PAC ID 7719342005, 53 clinicians

Practice addresses (Care Compare)

550 Broad St
Suite 606
Newark, NJ 07102-4537
Phone (201) 822-1161

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7142503NYMDAdult Health Nurse Practitioner
F403138NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valera Medical, P.C. Psychiatric/Mental Health CurrentSince Jul 1, 2021 Accepting new patients
Valera Medical, P.a. Psychiatric/Mental Health CurrentSince Sep 1, 2022 Accepting new patients
Maimonides Medical Center Current Accepting new patients
JLS Medical PC Psychiatric/Mental Health CurrentSince Jul 12, 2023 Accepting new patients
Upper Room AIDS Ministry, Inc. Adult Day Health Care Center. Psychiatric/Mental Health CurrentSince Nov 2, 2020 Accepting new patients
Preferred Professional Medical Care PC CurrentSince Oct 28, 2018 Accepting new patients
Bancroft, a New Jersey Nonprofit Corporation PastSince Jul 12, 2023 Accepting new patients
Shlomit Levy PastSince Nov 2, 2020 Accepting new patients

Locations

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

550 Broad St
Ste 606
Newark, NJ 07102
Phone (425) 458-8525

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

134 N 4th St
Brooklyn, NY 11249

6010 Bay Pkwy
Ste 901
Brooklyn, NY 11204
Phone (718) 238-2100

169 W 133rd St
New York, NY 10030
Phone (646) 762-4950

306 Malcolm X Blvd
Fl 3
New York, NY 10027
Phone (212) 803-2850

3505 Veterans Memorial Hwy
Ste C
Ronkonkoma, NY 11779
Phone (631) 676-7556

Interoperability endpoints

  • Direct secure messaging: anyihsueh@mai.allscriptsdirect.net

Organizations & group practices 8

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": "1278115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1295047447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 CENTRE ST",
            "address_2": "SUITE 709",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 BROAD ST STE 606",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071024537",
            "telephone_number": "201-822-1161",
            "fax_number": "877-485-8918"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "306 Lenox Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100274465",
            "country_code": "US",
            "telephone_number": "917-683-6813",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "139 Centre St",
            "address_2": "Suite 709",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100134408",
            "country_code": "US",
            "telephone_number": "212-965-0496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HSUEH",
        "first_name": "ANYI",
        "credential": "DNP, PMHNP-BC, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-03",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "7142503",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F403138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0920100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.