Individual provider Active NPI

Judith Tracy, APN

  • Family Nurse Practitioner
  • Summit, NJ
National Provider Identifier
1427618198
Registry record updated Jun 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00926500 Issued in NJ
Practice address
33 Overlook Rd
Summit, NJ 07901-3570
Phone
(908) 277-4480
NPI assigned
Jun 15, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 26NJ00926500 NJ Primary

Addresses

Primary practice location

33 Overlook Rd
Summit, NJ 07901-3570

Mailing address

11 New Providence Ave
Summit, NJ 07901-1210
Phone (908) 251-3969

Other practice location 1

11 New Providence Ave
Summit, NJ 07901-1210
Phone (908) 251-3969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NJ2 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
I20220628002668 AZ Practitioner - Nurse Practitioner 9335528900 Reassigns benefits to 1 organization
I20220825000476 NJ Practitioner - Nurse Practitioner 9335528900 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00926500NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Health Initiative Inc CurrentSince Feb 25, 2024 Accepting new patients
Union County Health Care Associates LLC Single Specialty CurrentSince Sep 14, 2025 Accepting new patients
Connected Family Practice LLC Current Accepting new patients
MD Care Urgent Center LLC Single Specialty PastSince Dec 1, 2010 Accepting new patients

Locations

637 Westfield Ave
Elizabeth, NJ 07208
Phone (908) 691-3800

300 South Ave
Garwood, NJ 07027
Phone (908) 232-2273

2005 Saint Georges Ave
Rahway, NJ 07065
Phone (732) 381-3740

33 Overlook Rd
Ste 304
Summit, NJ 07901
Phone (732) 381-3740

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20964/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1560556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560556800000",
    "number": "1427618198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 NEW PROVIDENCE AVE",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079011210",
            "telephone_number": "908-251-3969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 OVERLOOK RD",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013570",
            "telephone_number": "908-277-4480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 New Providence Ave",
            "address_purpose": "LOCATION",
            "city": "Summit",
            "state": "NJ",
            "postal_code": "079011210",
            "country_code": "US",
            "telephone_number": "908-251-3969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRACY",
        "first_name": "JUDITH",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-15",
        "last_updated": "2019-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00926500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summit, NJ

Sources for this page

Verify at the official NPI Registry.