Individual provider Active NPI

Nicole Bejian

  • Family Nurse Practitioner
  • Sparta, NJ
National Provider Identifier
1447749262
Registry record updated Oct 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00818700 Issued in NJ
Practice address
21 Mohawk Ave
Sparta, NJ 07871-1808
Phone
(973) 729-4211
NPI assigned
May 7, 2018
Reactivated
Feb 2, 2024
Last updated
Oct 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2026

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 26NJ00818700 NJ Primary

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

16 Pocono Rd Ste 302
Denville, NJ 07834-2908
Phone (973) 784-3935

Other practice location 2

67 Reservoir Rd
Parsippany, NJ 07054-1371
Phone (973) 967-0367

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
I20200102001296 NJ Practitioner - Nurse Practitioner 3375977101 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifeline Medical Associates LLCGroup PAC ID 1456332170, 155 clinicians
Saint James Health, IncGroup PAC ID 7214237916, 14 clinicians

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saint James Health Inc Current Accepting new patients
Saint James Health, Inc CurrentSince Oct 21, 2024 Accepting new patients

Locations

228 Lafayette St
Newark, NJ 07105
Phone (973) 465-2790

228 Lafayette St
Fl 2
Newark, NJ 07105
Phone (973) 344-0078

Interoperability endpoints

  • Direct secure messaging: nicole.bejian.1@27010.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792800000000",
    "number": "1447749262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 MOHAWK AVE",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711808",
            "telephone_number": "973-729-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 MOHAWK AVE",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711808",
            "telephone_number": "973-729-4211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Pocono Rd Ste 302",
            "address_purpose": "LOCATION",
            "city": "Denville",
            "state": "NJ",
            "postal_code": "078342908",
            "country_code": "US",
            "telephone_number": "973-784-3935",
            "fax_number": "973-561-6678",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "67 Reservoir Rd",
            "address_purpose": "LOCATION",
            "city": "Parsippany",
            "state": "NJ",
            "postal_code": "070541371",
            "country_code": "US",
            "telephone_number": "973-967-0367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEJIAN",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-07",
        "last_updated": "2026-10-24",
        "certification_date": "2026-10-24",
        "deactivation_date": "2024-01-25",
        "reactivation_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00818700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparta, NJ

Sources for this page

Verify at the official NPI Registry.