Individual provider Active NPI

Lauren Riley, APN

  • Family Nurse Practitioner
  • Fair Haven, NJ
National Provider Identifier
1467794685
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00534400 Issued in NJ
Practice address
623 River Rd Ste 1E
Fair Haven, NJ 07704-3267
Phone
(732) 838-3376
Fax
(732) 520-3396
NPI assigned
Mar 26, 2013
Last updated
Jul 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 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 26NJ00534400 NJ Primary

Addresses

Primary practice location

623 River Rd Ste 1E
Fair Haven, NJ 07704-3267

Mailing address

176 Riverside Ave
Red Bank, NJ 07701-1063
Phone (732) 219-6628

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
I20150406000424 NJ Practitioner - Nurse Practitioner 0244452324 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Choice Dermatology LLCGroup PAC ID 9133382609, 7 clinicians

Practice addresses (Care Compare)

1050 Galloping Hill Rd
Suite 202
Union, NJ 07083-7980
Phone (908) 355-0112

623 River Rd
Fair Haven, NJ 07704-3200
Phone (347) 413-0977

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nexderm CurrentSince Jan 1, 2025 Accepting new patients
Choice Dermatology LLC CurrentSince Sep 1, 2023 Accepting new patients

Locations

12 Ridge St
Basking Ridge, NJ 07920
Phone (908) 766-1515

623 River Rd
Fair Haven, NJ 07704
Phone (347) 413-0977

623 River Rd
Ste 1E
Fair Haven, NJ 07704

1050 Galloping Hill Rd
Ste 202
Union, NJ 07083
Phone (908) 355-0112

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.

NPI Registry JSON

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1467794685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 RIVERSIDE AVE",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011063",
            "telephone_number": "732-219-6628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 RIVER RD STE 1E",
            "city": "FAIR HAVEN",
            "state": "NJ",
            "postal_code": "077043267",
            "telephone_number": "732-838-3376",
            "fax_number": "732-520-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "LAUREN",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-26",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00534400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Haven, NJ

Sources for this page

Verify at the official NPI Registry.