Individual provider Active NPI

Lauren Moyer

  • Psychiatric/Mental Health Nurse Practitioner
  • Glen Rock, NJ
National Provider Identifier
1356992234
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00964300 Issued in NJ
Practice address
65 Harristown Rd Ste 101
Glen Rock, NJ 07452-3317
Phone
(201) 487-1240
Fax
(201) 487-1241
NPI assigned
Sep 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 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 26NJ00964300 NJ Primary

Addresses

Primary practice location

65 Harristown Rd Ste 101
Glen Rock, NJ 07452-3317

Mailing address

65 Harristown Rd Ste 101
Glen Rock, NJ 07452-3317
Phone (201) 487-1240

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
I20191119002562 NJ Practitioner - Nurse Practitioner 5890127427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Psychiatric Associates LLCGroup PAC ID 8628163284, 9 clinicians

Practice addresses (Care Compare)

256 Columbia Tpke
Suite 209
Florham Park, NJ 07932-1238
Phone (201) 487-1240

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00964300NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Psychiatric Associates, LLC CurrentSince Oct 1, 2019 Accepting new patients
Hackensack Psychiatric Group LLC PastSince Oct 1, 2019 Accepting new patients

Locations

256 Columbia Tpke
Ste 209
Florham Park, NJ 07932
Phone (201) 487-1240

65 Harristown Rd
Ste 101
Glen Rock, NJ 07452
Phone (201) 487-1240

65 Harristown Rd
Ste 1
Glen Rock, NJ 07452

211 Essex St
Ste 204
Hackensack, NJ 07601
Phone (201) 487-1240

Organizations & group practices 2

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": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1356992234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 HARRISTOWN RD STE 101",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074523317",
            "telephone_number": "201-487-1240",
            "fax_number": "201-487-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 HARRISTOWN RD STE 101",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074523317",
            "telephone_number": "201-487-1240",
            "fax_number": "201-487-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYER",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00964300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Rock, NJ

Sources for this page

Verify at the official NPI Registry.