Individual provider Active NPI

Catherine A Menewisch, CRNP

  • Adult Health Nurse Practitioner
  • Laurel Springs, NJ
National Provider Identifier
1477628816
Registry record updated Sep 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NN06143900 Issued in NJ
Practice address
16 Roosevelt Drive
Laurel Springs, NJ 08021
Phone
(856) 232-6058
Fax
(856) 232-8260
NPI assigned
Nov 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NN06143900 NJ Primary

Addresses

Primary practice location

16 Roosevelt Drive
Laurel Springs, NJ 08021

Mailing address

16 Roosevelt Drive
Laurel Springs, NJ 08021
Phone (856) 232-6058

Other identifiers 1

IdentifierTypeStateIssuer
8039208MedicaidNJ

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
I20031204000105 NJ Practitioner - Nurse Practitioner 3971408204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Care Solutions, LLCGroup PAC ID 8628973955, 2 clinicians

Practice addresses (Care Compare)

16 Roosevelt Dr
Laurel Springs, NJ 08021-2731

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Care Solutions, LLC Adult Health CurrentSince Jan 1, 2001 Accepting new patients

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316736000000",
    "number": "1477628816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 ROOSEVELT DRIVE",
            "city": "LAUREL SPRINGS",
            "state": "NJ",
            "postal_code": "08021",
            "telephone_number": "856-232-6058",
            "fax_number": "856-232-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 ROOSEVELT DRIVE",
            "city": "LAUREL SPRINGS",
            "state": "NJ",
            "postal_code": "08021",
            "telephone_number": "856-232-6058",
            "fax_number": "856-232-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENEWISCH",
        "first_name": "CATHERINE",
        "middle_name": "A",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2011-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NN06143900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8039208",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel Springs, NJ

Sources for this page

Verify at the official NPI Registry.