Individual provider Active NPI

Mercedes Echevarria, APN

  • Family Nurse Practitioner
  • Asbury Park, NJ
National Provider Identifier
1295860245
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NN08248300 Issued in NJ
Practice address
700 Cookman Ave
Asbury Park, NJ 07712-7008
Phone
(732) 599-9666
NPI assigned
Feb 22, 2007
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
Family Nurse Practitioner 363LF0000X 26NN08248300 NJ Primary

Addresses

Primary practice location

700 Cookman Ave
Asbury Park, NJ 07712-7008

Mailing address

43 Richards Dr
Parlin, NJ 08859-1733
Phone (732) 727-2686

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
I20110804000117 NJ Practitioner - Nurse Practitioner 8820267024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

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

35 Broad St
Keyport, NJ 07735-1267
Phone (732) 888-4149

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NN08248300NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Visiting Nurse Association of Central Jersey Community Health Center I CurrentSince Mar 19, 2018 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 Mar 19, 2018 Accepting new patients
Rutgers Nursing Faculty Practice Past Accepting new patients
Rutgers Health-RWJ Scleroderma Program PastSince Jul 1, 2017 Accepting new patients
Visiting Nurse Association of Central Jersey, Community Health Center, Past Accepting new patients

Locations

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

35 Broad St
Keyport, NJ 07735
Phone (732) 888-4149

Interoperability endpoints

  • Direct secure messaging: mercedes.echevarria.p1@direct.vnahg.nextgenshare.com

Organizations & group practices 6

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": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295860245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 RICHARDS DR",
            "city": "PARLIN",
            "state": "NJ",
            "postal_code": "088591733",
            "telephone_number": "732-727-2686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 COOKMAN AVE",
            "city": "ASBURY PARK",
            "state": "NJ",
            "postal_code": "077127008",
            "telephone_number": "732-599-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHEVARRIA",
        "first_name": "MERCEDES",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NN08248300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asbury Park, NJ

Sources for this page

Verify at the official NPI Registry.