Individual provider Active NPI

Caroline Murray

  • Psychiatric/Mental Health Nurse Practitioner
  • Elizabeth, NJ
National Provider Identifier
1508200098
Registry record updated May 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00429400 Issued in NJ
Practice address
654 E Jersey St
2ND Floor
Elizabeth, NJ 07206-1261
Phone
(908) 994-7559
NPI assigned
Apr 26, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26NR13182300 NJ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00429400 NJ Primary

Addresses

Primary practice location

654 E Jersey St
2ND Floor
Elizabeth, NJ 07206-1261

Mailing address

654 E Jersey St
2ND Floor
Elizabeth, NJ 07206-1261
Phone (908) 994-7559

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
I20170718003002 NJ Practitioner - Nurse Practitioner 5597035931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Psychiatric Associates LLCGroup PAC ID 8628163284, 9 clinicians

Practice addresses (Care Compare)

256 Columbia Tpke
Suite 209
Florham Park, NJ 07932-1238
Phone (201) 487-1240

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NR13182300NJMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Psychiatric Associates, LLC CurrentSince Jul 8, 2017 Accepting new patients

Locations

256 Columbia Tpke
Ste 209
Florham Park, NJ 07932
Phone (201) 487-1240

65 Harristown Rd
Ste 101
Glen Rock, NJ 07452
Phone (201) 487-1240

65 Harristown Rd
Ste 1
Glen Rock, NJ 07452

211 Essex St
Ste 204
Hackensack, NJ 07601
Phone (201) 487-1240

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.

NPI Registry JSON

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

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401235200000",
    "number": "1508200098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 E JERSEY ST",
            "address_2": "2ND FLOOR",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072061261",
            "telephone_number": "908-994-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 E JERSEY ST",
            "address_2": "2ND FLOOR",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072061261",
            "telephone_number": "908-994-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "CAROLINE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-26",
        "last_updated": "2014-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR13182300",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00429400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

Verify at the official NPI Registry.