Individual provider Active NPI

Joseph Steven Larena, FNP-C

  • Family Nurse Practitioner
  • Sparta, NJ
National Provider Identifier
1417647090
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01479600 Issued in NJ
Practice address
328A Sparta Ave
Sparta, NJ 07871-1166
Phone
(973) 729-2197
NPI assigned
May 9, 2023
Last updated
May 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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 26NJ01479600 NJ Primary

Addresses

Primary practice location

328A Sparta Ave
Sparta, NJ 07871-1166

Mailing address

2 Partridge Dr
Blairstown, NJ 07825-2327
Phone (908) 246-9295

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
I20230713003535 NJ Practitioner - Nurse Practitioner 2365802956 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26NJ01479600NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Partners, LLC CurrentSince Jun 8, 2023 Accepting new patients
Primary Care Partners, LLC CurrentSince Jun 8, 2023 Accepting new patients

Locations

465 South St
Ste 103
Morristown, NJ 07960
Phone (973) 971-7130

475 South St
Morristown, NJ 07960
Phone (973) 660-3166

328A Sparta Ave
Sparta, NJ 07871
Phone (973) 729-2197

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": "1683590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1417647090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PARTRIDGE DR",
            "city": "BLAIRSTOWN",
            "state": "NJ",
            "postal_code": "078252327",
            "telephone_number": "908-246-9295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328A SPARTA AVE",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711166",
            "telephone_number": "973-729-2197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARENA",
        "first_name": "JOSEPH",
        "middle_name": "STEVEN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01479600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparta, NJ

Sources for this page

Verify at the official NPI Registry.