Individual provider Active NPI

Vennansha Williams, APN

  • Adult Health Nurse Practitioner
  • Manalapan, NJ
National Provider Identifier
1467951400
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00837200 Issued in NJ
Practice address
831 Tennent Rd Ste 1E
Manalapan, NJ 07726-8288
Phone
(732) 851-4000
Fax
(732) 851-4703
NPI assigned
Feb 5, 2018
Last updated
Jan 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00837200 NJ Primary
General Practice Registered Nurse 163WG0000X 26NR15191600 NJ

Addresses

Primary practice location

831 Tennent Rd Ste 1E
Manalapan, NJ 07726-8288

Mailing address

PO Box 416457
Boston, MA 02241-6457
Phone (844) 362-1735

Other practice location 1

2 Hospital Plz Ste 450
Old Bridge, NJ 08857-3154
Phone (732) 416-6915

Other practice location 2

293 Passaic St
Passaic, NJ 07055-5803
Phone (973) 371-2543

Other practice location 3

901 W Main Street, Ambulatory Campus
Bldg A, Suite 260
Freehold, NJ 07728
Phone (732) 851-4700

Other identifiers 1

IdentifierTypeStateIssuer
26NJ00837200OtherNJSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190807000053 NJ Practitioner - Nurse Practitioner 2668709189 Reassigns benefits to 2 organizations
I20190815001905 NY Practitioner - Nurse Practitioner 2668709189 Reassigns benefits to 1 organization

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
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5596

901 W Main St
Freehold, NJ 07728-2537

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
309151NYMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yoav Borsuk MD PC CurrentSince Jun 11, 2019 Accepting new patients
Practice Associates Medical Group CurrentSince Jan 27, 2025 Accepting new patients
Centrastate Cardiology PC CurrentSince Nov 1, 2021 Accepting new patients

Locations

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

901 W Main St
Bldg A
Freehold, NJ 07728
Phone (732) 840-7500

201 N County Line Rd
Jackson, NJ 08527
Phone (732) 901-8880

831 Tennent Rd
Ste 1E
Manalapan, NJ 07726
Phone (732) 851-0200

831 Tennent Rd
Ste 1F
Manalapan, NJ 07726
Phone (732) 294-7012

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

465 South St
Ste 103
Morristown, NJ 07960
Phone (973) 971-7130

2 Hospital Plz
Ste 450
Old Bridge, NJ 08857
Phone (732) 416-6915

167 Madison Ave
Rm 605
New York, NY 10016
Phone (212) 979-8880

Interoperability endpoints

  • Direct secure messaging: vennansha.w@borsuk.curemd.direct-ci.com
  • Direct secure messaging: vwilliams425658@direct.ahsys.org

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 3

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": "1517788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1467951400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416457",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416457",
            "telephone_number": "844-362-1735",
            "fax_number": "973-290-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 TENNENT RD STE 1E",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268288",
            "telephone_number": "732-851-4000",
            "fax_number": "732-851-4703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Hospital Plz Ste 450",
            "address_purpose": "LOCATION",
            "city": "Old Bridge",
            "state": "NJ",
            "postal_code": "088573154",
            "country_code": "US",
            "telephone_number": "732-416-6915",
            "fax_number": "732-416-6918",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "293 Passaic St",
            "address_purpose": "LOCATION",
            "city": "Passaic",
            "state": "NJ",
            "postal_code": "070555803",
            "country_code": "US",
            "telephone_number": "973-371-2543",
            "fax_number": "973-371-4404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 W Main Street, Ambulatory Campus",
            "address_2": "Bldg A, Suite 260",
            "address_purpose": "LOCATION",
            "city": "Freehold",
            "state": "NJ",
            "postal_code": "07728",
            "country_code": "US",
            "telephone_number": "732-851-4700",
            "fax_number": "732-851-4703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "VENNANSHA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-05",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00837200",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NJ",
            "license": "26NR15191600",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "26NJ00837200",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

Verify at the official NPI Registry.