Individual provider Active NPI

Helen Ferlazzo, RN, APN, C. ,ACRN

  • Adult Health Nurse Practitioner
  • Asbury Park, NJ
National Provider Identifier
1295773745
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00062400 Issued in NJ
Practice address
1301 Main St
Asbury Park, NJ 07712-5359
Phone
(732) 774-6333
Fax
(732) 774-8083
NPI assigned
Jun 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00062400 NJ Primary

Addresses

Primary practice location

1301 Main St
Asbury Park, NJ 07712-5359

Mailing address

1301 Main St
Asbury Park, NJ 07712-5359
Phone (732) 774-6333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040816001146 NJ Practitioner - Nurse Practitioner 0749253904 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Visiting Nurse Association of Central Jersey Community Health Center I CurrentSince Jun 5, 2011 Accepting new patients
Visiting Nurse Association of Central Jersey Community Health Center I Current Accepting new patients
Visiting Nurse Association of Central Jersey Community Health Center I CurrentSince Jun 5, 2011 Accepting new patients

Locations

1301 Main St
Asbury Park, NJ 07712
Phone (732) 774-6333

572 Cookman Ave
Asbury Park, NJ 07712
Phone (732) 774-6333

141 Bodman Pl
Red Bank, NJ 07701
Phone (732) 224-6842

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1295773745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 MAIN ST",
            "city": "ASBURY PARK",
            "state": "NJ",
            "postal_code": "077125359",
            "telephone_number": "732-774-6333",
            "fax_number": "732-774-8083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 MAIN ST",
            "city": "ASBURY PARK",
            "state": "NJ",
            "postal_code": "077125359",
            "telephone_number": "732-774-6333",
            "fax_number": "732-774-8083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERLAZZO",
        "first_name": "HELEN",
        "name_prefix": "Ms.",
        "credential": "RN, APN, C. ,ACRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00062400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asbury Park, NJ

Sources for this page

Verify at the official NPI Registry.