Individual provider Active NPI

Atiya Hartley

  • Gerontology Nurse Practitioner
  • East Windsor, NJ
National Provider Identifier
1477418390
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26NJ15485400 Issued in NJ
Practice address
300B Princeton Hightstown Rd Ste 204
East Windsor, NJ 08520-1400
Phone
(862) 314-7030
Fax
(732) 647-1133
NPI assigned
Dec 23, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 26NJ15485400 NJ Primary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 26NJ15485400 NJ

Addresses

Primary practice location

300B Princeton Hightstown Rd Ste 204
East Windsor, NJ 08520-1400

Mailing address

1 Robert Wood Johnson PL
New Brunswick, NJ 08901-1928
Phone (732) 828-3000

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
I20260121001763 NJ Practitioner - Nurse Practitioner 2860979820 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Restore First Health NJ LLCGroup PAC ID 7012381106, 5 clinicians

Practice addresses (Care Compare)

300 B Princeton Hightstown Rd
Suite 202
East Windsor, NJ 08520-1400
Phone (856) 906-9375

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ15485400NJMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Restore First Health NJ LLC Single Specialty CurrentSince Mar 2, 2026 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Jan 1, 2026 Accepting new patients
Barnabas Health Medical Group PC Single Specialty CurrentSince Jan 1, 2026 Accepting new patients

Locations

300B Princeton Hightstown Rd
Ste 204
East Windsor, NJ 08520
Phone (609) 426-0052

300B Princeton Hightstown Rd
Ste 202
East Windsor, NJ 08520
Phone (702) 303-4220

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1766448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1477418390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ROBERT WOOD JOHNSON PL",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011928",
            "telephone_number": "732-828-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300B PRINCETON HIGHTSTOWN RD STE 204",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085201400",
            "telephone_number": "862-314-7030",
            "fax_number": "732-647-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTLEY",
        "first_name": "ATIYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-23",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ15485400",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ15485400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Windsor, NJ

Sources for this page

Verify at the official NPI Registry.