Individual provider Active NPI

Jennifer Fahr

  • Family Nurse Practitioner
  • Clinton, NJ
National Provider Identifier
1457126237
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ14948200 Issued in NJ
Practice address
54 Old Highway 22
Clinton, NJ 08809-1389
Phone
(908) 730-6363
NPI assigned
Nov 21, 2023
Last updated
Nov 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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 26NJ14948200 NJ Primary

Addresses

Primary practice location

54 Old Highway 22
Clinton, NJ 08809-1389

Mailing address

54 Old Highway 22
Clinton, NJ 08809-1389

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
I20240515000477 NJ Practitioner - Nurse Practitioner 0840631396 Reassigns benefits to 1 organization

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
The Doctor Is in, PAGroup PAC ID 0547246050, 8 clinicians

Practice addresses (Care Compare)

54 Old Hwy 22
Clinton, NJ 08809-1389
Phone (908) 730-6363

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ14948200NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Doctor Is in, PA CurrentSince Apr 8, 2024 Accepting new patients

Locations

54 Route 22
Clinton, NJ 08809
Phone (908) 730-6363

149 State Route 31
#M
Flemington, NJ 08822
Phone (908) 782-7700

1205 US Highway 22
Phillipsburg, NJ 08865
Phone (908) 213-2211

Interoperability endpoints

  • Direct secure messaging: jennifer.fahr.p1@direct.tdii.nextgenshare.com

Organizations & group practices 1

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 2

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": "1700524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1457126237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 OLD HIGHWAY 22",
            "city": "CLINTON",
            "state": "NJ",
            "postal_code": "088091389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 OLD HIGHWAY 22",
            "city": "CLINTON",
            "state": "NJ",
            "postal_code": "088091389",
            "telephone_number": "908-730-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHR",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-21",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ14948200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, NJ

Sources for this page

Verify at the official NPI Registry.