Individual provider Active NPI

Luis A. Febus, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Edgewater, NJ
National Provider Identifier
1407026248
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00151600 Issued in NJ
Practice address
99 Gorge Rd Apt 1908
Edgewater, NJ 07020-1726
Phone
(201) 464-6147
Fax
(201) 462-3899
NPI assigned
Mar 7, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00151600 NJ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00151600 NJ Primary

Addresses

Primary practice location

99 Gorge Rd Apt 1908
Edgewater, NJ 07020-1726

Mailing address

99 Gorge Rd Apt 1908
Edgewater, NJ 07020-1726
Phone (201) 464-6147

Other identifiers 1

IdentifierTypeStateIssuer
141480OtherNJMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 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
I20090121000406 NJ Practitioner - Nurse Practitioner 2062576978 Reassigns benefits to 1 organization
I20260416000909 NY Practitioner - Nurse Practitioner 2062576978 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

400 Winhaven St
Roxboro, NC 27573-5442

80 5TH Ave
Suite 903 10
New York, NY 10011-8020

99 Gorge Rd
Apt 1908
Edgewater, NJ 07020-1726

99 Gorge Rd Apt
Suite 1908
Edgewater, NJ 07020-1726

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00151600NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Malina Medical Services PC CurrentSince Apr 13, 2026 Accepting new patients
Febus NP Consultants LLC CurrentSince Feb 26, 2023 Accepting new patients
MGM Ketamine Services LLC CurrentSince Jan 19, 2026 Accepting new patients

Locations

690 Kinderkamack Rd
Ste 103
Oradell, NJ 07649
Phone (201) 483-3760

7 W 96th St
Apt 1H
New York, NY 10025
Phone (201) 483-3760

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, 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": "1204848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1407026248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 GORGE RD APT 1908",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201726",
            "telephone_number": "201-464-6147",
            "fax_number": "201-462-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 GORGE RD APT 1908",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201726",
            "telephone_number": "201-464-6147",
            "fax_number": "201-462-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEBUS",
        "first_name": "LUIS",
        "middle_name": "A.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-07",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00151600",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00151600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "141480",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewater, NJ

Sources for this page

Verify at the official NPI Registry.