Individual provider Active NPI

Lana Ignatov

  • Psychiatric/Mental Health Nurse Practitioner
  • Toms River, NJ
National Provider Identifier
1356028047
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ15066300 Issued in NJ
Practice address
20 Hospital Dr
Toms River, NJ 08755-6434
Phone
(903) 721-1330
NPI assigned
Jul 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11028205 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ15066300 NJ Primary

Addresses

Primary practice location

20 Hospital Dr
Toms River, NJ 08755-6434

Mailing address

21 Branton Dr
East Brunswick, NJ 08816-4204
Phone (917) 557-1865

Other practice location 1

365 Wekiva Springs Rd Ste 231
Longwood, FL 32779-3690
Phone (321) 527-7924

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX, NJ, VA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20240430003893 FL Practitioner - Nurse Practitioner 9335589878 Reassigns benefits to 2 organizations
I20250221000579 TX Practitioner - Nurse Practitioner 9335589878 Reassigns benefits to 1 organization
I20250326000374 NJ Practitioner - Nurse Practitioner 9335589878 Reassigns benefits to 2 organizations
I20250820001600 VA Practitioner - Nurse Practitioner 9335589878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Modern Psychiatry PAGroup PAC ID 4587025721, 8 clinicians
Modern Psychiatry NJ PCGroup PAC ID 2961865464, 17 clinicians
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

24721 State Hwy 249
Tomball, TX 77375-7727
Phone (732) 831-6094

365 Wekiva Springs Rd
Suite 231
Longwood, FL 32779-3690
Phone (732) 831-6094

40 Bey Lea Rd
Toms River, NJ 08753-2900
Phone (732) 831-6094

4932 Dominion Blvd
Glen Allen, VA 23060-6714
Phone (804) 548-4863

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11028205FLMDPsychiatric/Mental Health Nurse Practitioner
26NJ15066300NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group of New Jersey PC Psychiatric/Mental Health CurrentSince Feb 28, 2025 Accepting new patients
Tears to Cheers Handwriting Clinic, LLC CurrentSince Jan 20, 2025 Accepting new patients
Modern Psychiatry, PA CurrentSince May 26, 2024 Accepting new patients
Modern Psychiatry NJ PC CurrentSince May 24, 2025 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Mar 19, 2024 Accepting new patients

Locations

365 Wekiva Springs Rd
Ste 231
Longwood, FL 32779
Phone (407) 470-5908

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

453 N Kirkman Rd
Ste 103
Orlando, FL 32811
Phone (407) 437-1642

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

40 Bey Lea Rd
Ste C101
Toms River, NJ 08753
Phone (732) 341-9901

20 Hospital Dr
Ste 4
Toms River, NJ 08755
Phone (732) 286-0222

8355 Walnut Hill Ln
Ste 225A
Dallas, TX 75231
Phone (346) 336-2265

24721 State Highway 249
Tomball, TX 77375
Phone (281) 205-3681

Interoperability endpoints

  • Direct secure messaging: modernpsychiatry.lanaignatov@161825.advancedmd-direct.com

Organizations & group practices 5

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": "1688342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1356028047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 BRANTON DR",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164204",
            "telephone_number": "917-557-1865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HOSPITAL DR",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556434",
            "telephone_number": "903-721-1330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "365 Wekiva Springs Rd Ste 231",
            "address_purpose": "LOCATION",
            "city": "Longwood",
            "state": "FL",
            "postal_code": "327793690",
            "country_code": "US",
            "telephone_number": "321-527-7924",
            "fax_number": "732-832-3632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IGNATOV",
        "first_name": "LANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-03",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11028205",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15066300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.