Active NPI
Anisha Pittman, APN-C
- Family Nurse Practitioner
- Marlboro, NJ
National Provider Identifier
1407306145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ00666700
- Practice address
- 32 N Main St
Marlboro, NJ 07746-1429 - Phone
- (732) 462-4100
- Fax
- (732) 462-3798
- NPI assigned
- Oct 5, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ00666700 | NJ | Primary |
Addresses
Primary practice location
32 N Main St
Marlboro, NJ 07746-1429
Mailing address
32 Victoria Cir
Jackson, NJ 08527-3202
Phone (732) 236-9941
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harmony Medical Services of New Jersey LLC | Current | Accepting new patients | |
| Harmony Medical Services of New Jersey LLC | Current | Accepting new patients | |
| Molina Care Connections, LLC. | Current | Accepting new patients |
Locations
28 Valley Rd
Montclair, NJ 07042
Phone (908) 451-8519
5605 N MacArthur Blvd
Ste 400
Irving, TX 75038
Phone (972) 536-7265
1660 Westridge Cir N
Irving, TX 75038
Phone (214) 467-9787
Interoperability endpoints
- anisha.pittman@maom.ehi.direct-ci.com
- anisha.pittman@direct.hackensackmeridian.org
- apittman20188@direct-prd.molinahealthcare.com
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.
-
- Family Medicine Physician
- Montclair, NJ
- NPI 1649873183
-
- Family Medicine Physician
- Montclair, NJ
- NPI 1356048573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475625600000",
"number": "1407306145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 VICTORIA CIR",
"city": "JACKSON",
"state": "NJ",
"postal_code": "085273202",
"telephone_number": "732-236-9941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 N MAIN ST",
"city": "MARLBORO",
"state": "NJ",
"postal_code": "077461429",
"telephone_number": "732-462-4100",
"fax_number": "732-462-3798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITTMAN",
"first_name": "ANISHA",
"credential": "APN-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-05",
"last_updated": "2016-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ00666700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marlboro, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.