Individual provider Active NPI

Grace Ruth Qarmout, R.N. , NPC

  • Primary Care Nurse Practitioner
  • Paramus, NJ
National Provider Identifier
1487905246
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
26NJ00393500 Issued in NJ
Practice address
80 Eisenhower Dr
Suite 200
Paramus, NJ 07652-1430
Phone
(201) 843-2800
Fax
(973) 939-0273
NPI assigned
Sep 19, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 26NJ00393500 NJ Primary

Addresses

Primary practice location

80 Eisenhower Dr
Suite 200
Paramus, NJ 07652-1430

Mailing address

80 Eisenhower Dr
Suite 200
Paramus, NJ 07652-1430
Phone (201) 843-2800

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
I20150331000570 NJ Practitioner - Nurse Practitioner 9436476538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifeline Medical Associates LLCGroup PAC ID 1456332170, 155 clinicians

Practice addresses (Care Compare)

1 W Ridgewood Ave
209 Thomas Golin MD
Paramus, NJ 07652-2356
Phone (201) 444-5744

16 Pocono Rd
Denville, NJ 07834-2901
Phone (973) 784-3935

16 Pocono Rd
Denville, NJ 07834-2905

16 Pocono Rd
Suite 309
Denville, NJ 07834-2908
Phone (973) 983-7695

2 Sears Dr Unit
104 Comprehensive Womens Care of Paramus
Paramus, NJ 07652-3525
Phone (201) 262-0075

Hospital & facility affiliations

  • Valley Hospital Hospital, Paramus, NJ, CCN 310012
  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00393500NJMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeline Medical Associates, LLC CurrentSince Mar 1, 2016 Accepting new patients
Valley OB & GYN Assoc P a PastSince Aug 1, 2001 Accepting new patients

Locations

16 Pocono Rd
Frnt
Denville, NJ 07834
Phone (973) 784-3935

80 Eisenhower Dr
Ste 200
Paramus, NJ 07652
Phone (201) 447-5757

Interoperability endpoints

  • Direct secure messaging: grace.qarmout.1@27010.direct.athenahealth.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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 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": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493078400000",
    "number": "1487905246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 EISENHOWER DR",
            "address_2": "SUITE 200",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521430",
            "telephone_number": "201-843-2800",
            "fax_number": "973-939-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 EISENHOWER DR",
            "address_2": "SUITE 200",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521430",
            "telephone_number": "201-843-2800",
            "fax_number": "973-939-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QARMOUT",
        "first_name": "GRACE",
        "middle_name": "RUTH",
        "credential": "R.N. , NPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-19",
        "last_updated": "2017-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ00393500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.