Individual provider Active NPI

Jessica Dybus, RN

  • Family Nurse Practitioner
  • Mays Landing, NJ
National Provider Identifier
1386343655
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ14987300 Issued in NJ
Practice address
1161 Route 50 Ste L
Mays Landing, NJ 08330-2158
Phone
(609) 625-7116
NPI assigned
Feb 27, 2023
Last updated
Oct 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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 26NJ14987300 NJ Primary
Administrator Registered Nurse 163WA2000X 26NR21783100 NJ

Addresses

Primary practice location

1161 Route 50 Ste L
Mays Landing, NJ 08330-2158

Mailing address

2106 New Rd Ste F2
Linwood, NJ 08221-1053
Phone (604) 796-7969

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jessica.dybus@ppgl.eclinicaldirectplus.com

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
I20240508003433 NJ Practitioner - Nurse Practitioner 4486095437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Platinum Providers Group, LLCGroup PAC ID 5890114821, 7 clinicians

Practice addresses (Care Compare)

1161 Route 50
Suite L
Mays Landing, NJ 08330-2158
Phone (609) 625-7116

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NR21783100NJMDAdministrator Registered Nurse
26NJ14987300NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Platinum Providers Group LLC CurrentSince Dec 1, 2024 Accepting new patients
Atlanticare Regional Medical Center Past Accepting new patients

Locations

2106 New Rd
Ste F2
Linwood, NJ 08221
Phone (609) 699-5750

1161 Route 50
Ste L
Mays Landing, NJ 08330
Phone (609) 625-7116

1418 New Rd
Ste 1
Northfield, NJ 08225
Phone (609) 796-7969

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ICJJCD
  • Direct secure messaging: jessica.dybus@ppgl.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1386343655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 NEW RD STE F2",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211053",
            "telephone_number": "604-796-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 ROUTE 50 STE L",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "083302158",
            "telephone_number": "609-625-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYBUS",
        "first_name": "JESSICA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-27",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ14987300",
            "primary": true
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "NJ",
            "license": "26NR21783100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica.dybus@ppgl.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1161 Route 50 Ste L",
            "city": "Mays Landing",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "083302158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mays Landing, NJ

Sources for this page

Verify at the official NPI Registry.