Individual provider Active NPI

Shipra Prasad, DNP, FNP-C

  • Family Nurse Practitioner
  • Glassboro, NJ
National Provider Identifier
1346849700
Registry record updated Oct 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NR17357200 Issued in NJ
Practice address
715 Delsea Dr N
Glassboro, NJ 08028-1435
Phone
(856) 863-5720
NPI assigned
Oct 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2020

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 26NR17357200 NJ Primary

Addresses

Primary practice location

715 Delsea Dr N
Glassboro, NJ 08028-1435

Mailing address

68 Gramercy Dr
Piscataway, NJ 08854-5246
Phone (732) 491-1700

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
I20210511000227 NJ Practitioner - Nurse Practitioner 8527477231 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Cancer Care Associates LLCGroup PAC ID 5294710091, 148 clinicians

Practice addresses (Care Compare)

15 Main St
Edison, NJ 08837-3447
Phone (609) 835-2900

30 Prospect Ave
Hackensack, NJ 07601-1915
Phone (844) 346-7222

Merit-based Incentive Payment System (MIPS)

Final score
80.53 of 100Reported as group
Quality
50.37
Promoting interoperability
100
Improvement activities
40
Cost
70.22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NR17357200NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care, Inc. CurrentSince Feb 6, 2021 Accepting new patients
Regional Cancer Care Associates LLC CurrentSince Dec 1, 2021 Accepting new patients
Community Health Care, Inc. CurrentSince Feb 6, 2021 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Aug 17, 2024 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Aug 17, 2024 Accepting new patients
Regional Cancer Care Associates LLC CurrentSince Dec 1, 2021 Accepting new patients

Locations

30 N Pearl St
Bridgeton, NJ 08302

15 Main St
Ste 1
Edison, NJ 08837
Phone (732) 734-6563

2177 Oak Tree Rd
Ste 104
Edison, NJ 08820
Phone (908) 412-1400

15 Main St
Ste 101
Edison, NJ 08837

715 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 863-5720

335 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 863-5720

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

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": "1602979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602979200000",
    "number": "1346849700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 GRAMERCY DR",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088545246",
            "telephone_number": "732-491-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 DELSEA DR N",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080281435",
            "telephone_number": "856-863-5720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRASAD",
        "first_name": "SHIPRA",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-18",
        "last_updated": "2020-10-18",
        "certification_date": "2020-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NR17357200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glassboro, NJ

Sources for this page

Verify at the official NPI Registry.