Theresa Huynh, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ15054300 Issued in NJ

Practice address

811 Washington Rd
Parlin, NJ 08859-1078

Phone

(848) 444-1962

NPI assigned

Apr 11, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Bridge to Life Clinical Consultants, LLC

  • Primary Care Clinic/Center
  • Parlin, NJ
  • NPI 1902425424
  Medicare reassignment

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

{
    "created_epoch": "1712793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1427802032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 OLD NEW BRUNSWICK RD APT 86A",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088543895",
            "telephone_number": "908-340-8544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 WASHINGTON RD",
            "city": "PARLIN",
            "state": "NJ",
            "postal_code": "088591078",
            "telephone_number": "848-444-1962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "86 Old New Brunswick Rd Apt 86A",
            "address_purpose": "LOCATION",
            "city": "Piscataway",
            "state": "NJ",
            "postal_code": "088543895",
            "country_code": "US",
            "telephone_number": "908-340-8544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "THERESA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15054300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wanda Enit Hernandez, LSW
• Felicia Lynne Herrero
• Sean Hickey, PT, DPT
• Homecare Rehab LLC
• Cassidy Hughes
• Ideal Psych Behavioral Health Limited Liability Company
• Immeasurable Me
• Immeasurable Me
• International Center for Optimal Living
• Lauren M Irizarry, PT, DPT

• Family Nurse Practitioner in Parlin, NJ
• Providers in Parlin, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.

Verify at the official NPI Registry.