Active NPI
Jennifer Minnick Brennan, Aprn, BC LLC
- Psychiatric/Mental Health Nurse Practitioner
- Shrewsbury, NJ
National Provider Identifier
1366779571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 26NC10476600
- Legal business name
- JENNIFER MINNICK BRENNAN, APRN, BC LLC
- Practice address
- 621 Shrewsbury Ave
Shrewsbury, NJ 07702-4153 - Phone
- (732) 741-5544
- NPI assigned
- Nov 9, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Minnick Brennan, APRN, BC
- Title
- Director
- Phone
- (732) 546-6216
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 26NC10476600 | NJ | Primary |
Addresses
Primary practice location
621 Shrewsbury Ave
Shrewsbury, NJ 07702-4153
Mailing address
211 Beechwood Dr
Shrewsbury, NJ 07702-4467
Phone (732) 546-6216
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
252 Broad St
Ste 2
Red Bank, NJ 07701
Phone (732) 741-5544
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- Shrewsbury, NJ
- NPI 1093928053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1375228800000",
"number": "1366779571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 BEECHWOOD DR",
"city": "SHREWSBURY",
"state": "NJ",
"postal_code": "077024467",
"telephone_number": "732-546-6216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 SHREWSBURY AVE",
"city": "SHREWSBURY",
"state": "NJ",
"postal_code": "077024153",
"telephone_number": "732-741-5544"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JENNIFER MINNICK BRENNAN, APRN, BC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-09",
"last_updated": "2013-07-31",
"status": "A",
"authorized_official_last_name": "BRENNAN",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "MINNICK",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "732-546-6216",
"authorized_official_credential": "APRN, BC"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NJ",
"license": "26NC10476600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shrewsbury, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.