Active NPI
Karen Landaverde, APRN
- Family Medicine Physician
- Linden, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 26NJ14971400
- Practice address
- 1020 W Edgar Rd
Linden, NJ 07036 - Phone
- (908) 275-5922
- NPI assigned
- Feb 13, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 26NJ14971400 | NJ | Primary |
Addresses
Primary practice location
1020 W Edgar Rd
Linden, NJ 07036
Mailing address
1020 W Edgar Rd
Linden, NJ 07036
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1107 Convery Blvd
Perth Amboy, NJ 08861-1937
Phone (732) 896-9962
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ14971400 | NJ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRX Paramus, LLC | Current | Accepting new patients | |
| The Radiology Group of New Jersey, LLC | Current | Accepting new patients | |
| Monmouth Digestive Health LLC | Past | Accepting new patients |
Locations
2001 College Dr
Ste 11
Clementon, NJ 08021
Phone (856) 566-3333
145 Wyckoff Rd
Ste 201
Eatontown, NJ 07724
Phone (732) 597-7333
57 US Highway 46
Ste 212
Hackettstown, NJ 07840
651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161
1050 W Edgar Rd
Linden, NJ 07036
Phone 7324041555303
1020 W Edgar Rd
Linden, NJ 07036
Phone (908) 275-5922
352 Ryders Ln
Milltown, NJ 08850
Phone (732) 638-1990
175 High St
Newton, NJ 07860
Phone (973) 383-2121
222 High St
Ste 205
Newton, NJ 07860
Phone (973) 579-4060
67 E Ridgewood Ave
Unit C
Paramus, NJ 07652
Phone (201) 262-2010
1107 Convery Blvd
Perth Amboy, NJ 08861
Phone (732) 442-0037
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.
-
- Multi-Specialty Clinic/Center
- Hackettstown, NJ
- NPI 1174010540
-
- Urgent Care Clinic/Center
- Paramus, NJ
- NPI 1316272685
-
- Gastroenterology Physician
- Eatontown, NJ
- NPI 1831721232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715558400000",
"number": "1447014154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 W EDGAR RD",
"city": "LINDEN",
"state": "NJ",
"postal_code": "07036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 W EDGAR RD",
"city": "LINDEN",
"state": "NJ",
"postal_code": "07036",
"telephone_number": "908-275-5922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDAVERDE",
"first_name": "KAREN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-13",
"last_updated": "2024-05-13",
"certification_date": "2024-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "26NJ14971400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Linden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.