Active NPI
Emily Raeann Vanuytven, FNP-BC
- Family Nurse Practitioner
- Hamilton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ15439200
- Practice address
- 1078 White Horse Ave
Hamilton, NJ 08610-1425 - Phone
- (609) 581-9100
- Fax
- (609) 581-7588
- NPI assigned
- Nov 5, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209026329 | IL | |
| Family Nurse Practitioner | 363LF0000X | 2022010295 | MO | |
| Family Nurse Practitioner | 363LF0000X | SP033426 | PA | |
| Family Nurse Practitioner | 363LF0000X | 26NJ15439200 | NJ | Primary |
Addresses
Primary practice location
1078 White Horse Ave
Hamilton, NJ 08610-1425
Mailing address
1078 White Horse Ave
Hamilton, NJ 08610-1425
Phone (609) 581-9100
Other names 1
- Emily Raeann-Vanuytven Rogers
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Memorial Dr
Alton, IL 62002-6722
Phone (618) 463-7240
1078 White Horse Ave
Hamilton, NJ 08610-1425
Phone (609) 581-9100
4700 Memorial Dr
Belleville, IL 62226-5373
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ15439200 | NJ | MD | Family Nurse Practitioner |
| SP033426 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Heights Medical Group SC | Current | Accepting new patients | |
| Fairview Heights Medical Group SC | Current | Accepting new patients | |
| Mariam Maniya Internal Medicine PC | Current | Accepting new patients |
Locations
1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240
4600 Memorial Dr
Ste 400
Belleville, IL 62226
Phone (618) 234-2390
4700 Memorial Dr
Ste 210
Belleville, IL 62226
Phone (618) 767-7700
660 Mason Ridge Center Dr
Ste 300
Saint Louis, MO 63141
Phone (314) 463-6950
660 Mason Ridge Center Dr
Saint Louis, MO 63141
Phone (314) 273-6433
800 Denow Rd
Ste K
Pennington, NJ 08534
Phone (609) 303-0571
1001 Washington Blvd
Robbinsville, NJ 08691
Phone (609) 249-9001
1078 Whitehorse Ave
Trenton, NJ 08610
Phone (609) 581-1400
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.
-
- Internal Medicine Physician
- Hamilton, NJ
- NPI 1720654510
-
dba BJC Medical Group of Illinois
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1073022000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770163200000",
"number": "1295490159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1078 WHITE HORSE AVE",
"city": "HAMILTON",
"state": "NJ",
"postal_code": "086101425",
"telephone_number": "609-581-9100",
"fax_number": "609-581-7588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1078 WHITE HORSE AVE",
"city": "HAMILTON",
"state": "NJ",
"postal_code": "086101425",
"telephone_number": "609-581-9100",
"fax_number": "609-581-7588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANUYTVEN",
"first_name": "EMILY",
"middle_name": "RAEANN",
"name_prefix": "Ms.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-05",
"last_updated": "2026-02-04",
"certification_date": "2026-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209026329",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2022010295",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP033426",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ15439200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "ROGERS",
"middle_name": "RAEANN-VANUYTVEN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hamilton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; 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.