Individual provider Active NPI

Jane O'Rourke, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Glen Rock, NJ
National Provider Identifier
1306492335
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00937400 Issued in NJ
Practice address
26 Roxbury PL
Glen Rock, NJ 07452-2606
Phone
(201) 655-3292
Fax
(201) 444-4912
NPI assigned
Aug 15, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00937400 NJ Primary

Addresses

Primary practice location

26 Roxbury PL
Glen Rock, NJ 07452-2606

Mailing address

26 Roxbury PL
Glen Rock, NJ 07452-2606
Phone (201) 655-3292

Other practice location 1

205 Robin Rd
Paramus, NJ 07652-1449
Phone (201) 444-4912

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address credentjialing@cfgpc.com Health Information Exchange (HIE)

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
I20191106001923 NJ Practitioner - Nurse Practitioner 4183956469 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00937400NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tenafly Psychiatric Associates, L.L.C. CurrentSince Jan 6, 2020 Accepting new patients
Center for Family Guidance, PC Psychiatric/Mental Health CurrentSince Oct 1, 2019 Accepting new patients
Inpathy Behavioral Healthcare Group LLC PastSince Aug 1, 2019 Accepting new patients
Center for Family Guidance PC PastSince Aug 1, 2019 Accepting new patients

Locations

765 Route 70 E
Bldg A
Marlton, NJ 08053
Phone (856) 797-4721

254 Easton Ave
New Brunswick, NJ 08901
Phone (732) 565-5453

2 Dean Dr
Fl 1
Tenafly, NJ 07670
Phone (201) 568-8288

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jane.orourke.p1@direct.cfg.nextgenshare.com

Organizations & group practices 4

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": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1306492335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 ROXBURY PL",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074522606",
            "telephone_number": "201-655-3292",
            "fax_number": "201-444-4912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 ROXBURY PL",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074522606",
            "telephone_number": "201-655-3292",
            "fax_number": "201-444-4912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 Robin Rd",
            "address_purpose": "LOCATION",
            "city": "Paramus",
            "state": "NJ",
            "postal_code": "076521449",
            "country_code": "US",
            "telephone_number": "201-444-4912",
            "fax_number": "201-444-4912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'ROURKE",
        "first_name": "JANE",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00937400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentjialing@cfgpc.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "765 Route 70 E Bldg A-100",
            "city": "Marlton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080532341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glen Rock, NJ

Sources for this page

Verify at the official NPI Registry.