Individual provider Active NPI

Caitlin Therese Tumminelli, APN

  • Adult Health Nurse Practitioner
  • Brick, NJ
National Provider Identifier
1417315862
Registry record updated Apr 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00610100 Issued in NJ
Practice address
1541 Route 88
Brick, NJ 08724-2373
Phone
(732) 836-3200
NPI assigned
Jan 31, 2016
Last updated
Apr 18, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2018

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 26NJ00610100 NJ Primary

Addresses

Primary practice location

1541 Route 88
Brick, NJ 08724-2373

Mailing address

424 S Main St
Forked River, NJ 08731-4654
Phone (609) 971-3500

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
I20180524000018 NJ Practitioner - Nurse Practitioner 6709141690 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barnabas Health Medical Group PCGroup PAC ID 9537316955, 1,027 clinicians

Practice addresses (Care Compare)

475 Hwy 70
Suite 101
Lakewood, NJ 08701-5897
Phone (732) 364-8000

770 Lighthouse Dr
Barnegat, NJ 08005-2373

780 Hwy 37 W
Toms River, NJ 08755-5059

780 Rte 37
Suite 310
Toms River, NJ 08755-5059
Phone (732) 240-7679

94 Old Short Hills Rd
Livingston, NJ 07039-5672

99 Hwy 37 W
Toms River, NJ 08755-6423
Phone (732) 477-8988

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.51 of 100Reported as apm
Quality
84.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group PC CurrentSince Oct 2, 2021 Accepting new patients
Barnabas Health Medical Group, PC CurrentSince Jul 12, 2021 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Oct 2, 2021 Accepting new patients

Locations

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

3 Executive Dr
Ste 400
Somerset, NJ 08873
Phone (732) 369-5949

67 Route 37 W
Fl 3
Toms River, NJ 08755
Phone (732) 523-5110

67 Route 37 W
Ste 200A
Toms River, NJ 08755
Phone (732) 608-9737

67 Route 37 W
Ste 200B
Toms River, NJ 08755
Phone (732) 341-3647

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1454198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524009600000",
    "number": "1417315862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 S MAIN ST",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087314654",
            "telephone_number": "609-971-3500",
            "fax_number": "609-971-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 ROUTE 88",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087242373",
            "telephone_number": "732-836-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUMMINELLI",
        "first_name": "CAITLIN",
        "middle_name": "THERESE",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-31",
        "last_updated": "2018-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00610100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.