Individual provider Active NPI

Anisha Pittman, APN-C

  • Family Nurse Practitioner
  • Marlboro, NJ
National Provider Identifier
1407306145
Registry record updated Oct 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00666700 Issued in NJ
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

Updated by the provider on Oct 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, TX2 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
I20170130000028 NJ Practitioner - Nurse Practitioner 7012296700 Reassigns benefits to 1 organization
I20250731002868 TX Practitioner - Nurse Practitioner 7012296700 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony Medical Services of New Jersey LLC CurrentSince Nov 20, 2024 Accepting new patients
Harmony Medical Services of New Jersey LLC Current Accepting new patients
Molina Care Connections, LLC. CurrentSince Jul 28, 2025 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

  • Direct secure messaging: anisha.pittman@maom.ehi.direct-ci.com
  • Direct secure messaging: anisha.pittman@direct.hackensackmeridian.org
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.