Individual provider Active NPI

Garbo Young Nilsson, NP

  • Family Nurse Practitioner
  • Cherry Hill, NJ
National Provider Identifier
1366832073
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00548400 Issued in NJ
Practice address
1865 Route 70 East
Suite 210
Cherry Hill, NJ 08003-2013
Phone
(856) 427-4336
Fax
(856) 429-0589
NPI assigned
Feb 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00548400 NJ Primary
Family Nurse Practitioner 363LF0000X SP014431 PA

Addresses

Primary practice location

1865 Route 70 East
Suite 210
Cherry Hill, NJ 08003-2013

Mailing address

1865 Route 70 East
Suite 210
Cherry Hill, NJ 08003-2013
Phone (856) 427-4336

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20150312001785 NJ Practitioner - Nurse Practitioner 1456677350 Reassigns benefits to 1 organization
I20201230000870 PA Practitioner - Nurse Practitioner 1456677350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

1006 Mantua Pike
Woodbury, NJ 08097-1221

1865 Route 70 E
Cherry Hill Renal
Cherry Hill, NJ 08003-2013
Phone (215) 662-2638

1865 Route 70 E 210
Cherry Hill, NJ 08003-2013

1865 Route 70 E 220
Cherry Hill, NJ 08003-2013

3624 Market St
FL 2
Philadelphia, PA 19104-5803
Phone (215) 662-7772

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00548400NJMDFamily Nurse Practitioner
SP014431PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn - Medical Group CurrentSince Mar 24, 2024 Accepting new patients
University of Penn - Medical Group Current Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Mar 16, 2015 Accepting new patients

Locations

1865 Route 70 E
Ste 210
Cherry Hill, NJ 08003
Phone (856) 427-4336

409 Route 70 E
Ste 2
Cherry Hill, NJ 08034
Phone (609) 594-4900

3205 Fire Rd
Egg Hbr Twp, NJ 08234
Phone (609) 407-1113

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

Organizations & group practices 3

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 3

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": "1422835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1366832073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 ROUTE 70 EAST",
            "address_2": "SUITE 210",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032013",
            "telephone_number": "856-427-4336",
            "fax_number": "856-429-0589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 ROUTE 70 EAST",
            "address_2": "SUITE 210",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032013",
            "telephone_number": "856-427-4336",
            "fax_number": "856-429-0589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NILSSON",
        "first_name": "GARBO",
        "middle_name": "YOUNG",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-02",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00548400",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP014431",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.