Individual provider Active NPI

Judy L Kerlin, APN

  • Nurse Practitioner
  • Manahawkin, NJ
National Provider Identifier
1487612503
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NC06027100 Issued in NJ
Practice address
1173 Beacon Ave Ste B
Manahawkin, NJ 08050-2531
Phone
(732) 840-7500
Fax
(732) 840-2088
NPI assigned
May 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NC06027100 NJ Primary

Addresses

Primary practice location

1173 Beacon Ave Ste B
Manahawkin, NJ 08050-2531

Mailing address

1168 Beacon Ave
Manahawkin, NJ 08050-2418
Phone (609) 597-6092

Other practice location 1

1168 Beacon Ave
Manahawkin, NJ 08050-2418
Phone (609) 597-6092

Other names 1

  • Judy Moeller Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 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
I20050811000139 NJ Practitioner - Certified Clinical Nurse Specialist (CNS) 4981633880 Reassigns benefits to 1 organization
I20240305001302 NJ Practitioner - Nurse Practitioner 4981633880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthonj LLCGroup PAC ID 6800225178, 302 clinicians

Practice addresses (Care Compare)

2315 Route 34
Manasquan, NJ 08736-1444
Phone (732) 974-0404

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare, LLC CurrentSince Jun 1, 2014 Accepting new patients
Orthonj LLC CurrentSince Mar 6, 2024 Accepting new patients
Advocare , LLC CurrentSince Jun 1, 2014 Accepting new patients
Orthonj LLC CurrentSince Mar 6, 2024 Accepting new patients
Barron Emergency Physicians LLC Nurse Practitioner PastSince Jan 19, 2025 Accepting new patients

Locations

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

1168 Beacon Ave
Manahawkin, NJ 08050
Phone (609) 597-6092

1173 Beacon Ave
Ste B
Manahawkin, NJ 08050
Phone (609) 597-1991

2315 Route 34
Manasquan, NJ 08736
Phone (732) 974-0404

Organizations & group practices 5

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1487612503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1168 BEACON AVE",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502418",
            "telephone_number": "609-597-6092",
            "fax_number": "609-597-7458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1173 BEACON AVE STE B",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502531",
            "telephone_number": "732-840-7500",
            "fax_number": "732-840-2088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1168 Beacon Ave",
            "address_purpose": "LOCATION",
            "city": "Manahawkin",
            "state": "NJ",
            "postal_code": "080502418",
            "country_code": "US",
            "telephone_number": "609-597-6092",
            "fax_number": "609-597-7458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERLIN",
        "first_name": "JUDY",
        "middle_name": "L",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NC06027100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDY",
            "last_name": "MOELLER",
            "credential": "APN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Manahawkin, NJ

Sources for this page

Verify at the official NPI Registry.