Theresa A Schulze, NURSE PRACTITIONER

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

26NJ01105500 Issued in NJ

Practice address

63 Grand Ave
River Edge, NJ 07661-1930

Phone

(201) 487-2900

Fax

(201) 487-1022

NPI assigned

Feb 22, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jeffrey Weiss, M.D., P.a.Group PAC ID 0446236483, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Jeffrey Weiss MD PA

  • Allergy Physician
  • Riverdale, NJ
  • NPI 1316016629
  Medicare reassignment Care Compare group NPD
• Allergy and Immunology Associates of Teaneck and River Edge P a

  • Allergy & Immunology Physician
  • River Edge, NJ
  • NPI 1679612527
  NPD (past)

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1508450446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 GRAND AVE",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076611930",
            "telephone_number": "201-487-2900",
            "fax_number": "201-487-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 GRAND AVE",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076611930",
            "telephone_number": "201-487-2900",
            "fax_number": "201-487-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULZE",
        "first_name": "THERESA",
        "middle_name": "A",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ01105500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dolly R Sacristan, PHD, LCSW
• Tian Saltzman
• Steven Santangelo
• Tosal Saxena, FNP-BC
• Allen A Schachter, DDS
• Sharyn Zisa Mays LCSW
• Dongwuk Shin, M.D.
• Kevin C Smith, DPT
• Jodie Sorkenn
• Joseph A Spinapolice, D.O.

• Nurse Practitioner in River Edge, NJ
• Providers in River Edge, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.