Nicole Bejian
Individual provider Active NPI Family Nurse Practitioner · Sparta, NJ
NPI 1447749262 · NPPES record last updated Feb 2, 2024
Key facts
- NPI
- 1447749262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 26NJ00818700 (NJ)
- Practice address
- 21 Mohawk Ave
Sparta, NJ 07871-1808 - Phone
- (973) 729-4211
- NPI assigned
- May 7, 2018
- Reactivated
- Feb 2, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lifeline Medical Associates LLC
Saint James Health, Inc
Practice addresses (Care Compare)
21 Mohawk Ave
Sparta, NJ 07871-1808
Phone (973) 729-4211
228 Lafayette St
FL 2
Newark, NJ 07105-1815
Phone (973) 789-8111
Hospital & facility affiliations
- Morristown Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200102001296 | NJ | Practitioner - Nurse Practitioner | 3375977101 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00818700 | NJ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint James Health Inc | Current | Accepting new patients | |
| Saint James Health, Inc | Current |
Accepting new patients |
Locations
228 Lafayette St
Fl 2
Newark, NJ 07105
Phone (973) 344-0078
228 Lafayette St
Newark, NJ 07105
Phone (973) 465-2790
Interoperability endpoints
- nicole.bejian.1@27010.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ00818700 | NJ | Yes |
Addresses
Primary practice location
21 Mohawk Ave
Sparta, NJ 07871-1808
Mailing address
21 Mohawk Ave
Sparta, NJ 07871-1808
Phone (973) 729-4211
Other practice location 1
67 Reservoir Rd
Parsippany, NJ 07054-1371
Phone (973) 967-0367
Other providers in Sparta, NJ
- Jamie Barlow
- David Basch
- Ashley J Bassett
- Kyra Mae Baumstark
- Crystal Bawuah
- Christopher J Belz
- Benevolent Wellness
- Alexandra Bieniasz
- Emily Taylor Billings
- Melony K Bishop
All providers in Sparta, NJ · Family Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.