Individual provider Active NPI

Lee Adam Taylor-Vaughan, RN, MSN, APRN,BC

  • Acute Care Nurse Practitioner
  • New Brunswick, NJ
National Provider Identifier
1366628778
Registry record updated Nov 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
26NJ00137300 Issued in NJ
Practice address
1 RWJ PL
New Brunswick, NJ 08901-1928
Phone
(732) 828-3000
Fax
(732) 301-2864
NPI assigned
Jan 16, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 26NJ00137300 NJ Primary

Addresses

Primary practice location

1 RWJ PL
New Brunswick, NJ 08901-1928

Mailing address

4814 Bloomingdale Dr
Hillsborough, NJ 08844-5564
Phone (973) 641-8488

Other names 1

  • Adam Lee Taylor-Vaughan Former name

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
I20110602000640 NJ Practitioner - Nurse Practitioner 4981881752 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rutgers Health-RWJ Neurosurgery FacultyGroup PAC ID 4587613443, 189 clinicians

Practice addresses (Care Compare)

1 Robert Wood Johnson PL
New Brunswick, NJ 08901-1928
Phone (732) 828-3000

Hospital & facility affiliations

  • Robert Wood Johnson University Hospital Hospital, New Brunswick, NJ, CCN 310038

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NJ00137300NJMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers Health-RWJ Neurosurgery Faculty CurrentSince Jul 1, 2024 Accepting new patients
Rutgers Health-RWJ Neurosurgery Faculty Current Accepting new patients
Robert Wood Johnson Medical Associates CurrentSince Dec 1, 2022 Accepting new patients
Rutgers Health-RWJ Neurosurgery Faculty CurrentSince Jul 1, 2024 Accepting new patients

Locations

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

120 Albany St
Ste 750
New Brunswick, NJ 08901
Phone (732) 937-8614

125 Paterson St
Ste 4100
New Brunswick, NJ 08901
Phone (732) 235-7756

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

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321833600000",
    "number": "1366628778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4814 BLOOMINGDALE DR",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088445564",
            "telephone_number": "973-641-8488",
            "fax_number": "732-301-2864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RWJ PL",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011928",
            "telephone_number": "732-828-3000",
            "fax_number": "732-301-2864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR-VAUGHAN",
        "first_name": "LEE",
        "middle_name": "ADAM",
        "credential": "RN, MSN, APRN,BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-16",
        "last_updated": "2011-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "26NJ00137300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADAM",
            "last_name": "TAYLOR-VAUGHAN",
            "middle_name": "LEE",
            "credential": "RN, MSN, APRN,BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.