Individual provider Active NPI

Jazmin Jerez-Rivera, NP

  • Adult Health Nurse Practitioner
  • Newark, NJ
National Provider Identifier
1396520771
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NR21003800 Issued in NJ
Practice address
738 N 8TH St
Newark, NJ 07107-2715
Phone
(201) 600-5376
NPI assigned
Aug 25, 2023
Last updated
Aug 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NR21003800 NJ Primary

Addresses

Primary practice location

738 N 8TH St
Newark, NJ 07107-2715

Mailing address

738 N 8TH St
Newark, NJ 07107-2715
Phone (201) 600-5376

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
I20240524002658 NJ Practitioner - Nurse Practitioner 0244672087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Garden State Cardiology LLCGroup PAC ID 3375675036, 15 clinicians

Practice addresses (Care Compare)

550 Newark Ave
Suite 307
Jersey City, NJ 07306-1353
Phone (201) 418-9111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NR21003800NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Garden State Cardiology LLC CurrentSince Apr 21, 2024 Accepting new patients
Carlos Alcorta MD PA Past Accepting new patients

Locations

550 Newark Ave
Ste 307
Jersey City, NJ 07306
Phone (201) 418-9111

1009 79th St
North Bergen, NJ 07047
Phone (201) 868-1112

433 60th St
Fl 1
West New York, NJ 07093
Phone (201) 770-9995

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GGAICD

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": "1692921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1396520771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "738 N 8TH ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071072715",
            "telephone_number": "201-600-5376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "738 N 8TH ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071072715",
            "telephone_number": "201-600-5376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEREZ-RIVERA",
        "first_name": "JAZMIN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NR21003800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.