Individual provider Active NPI

Mary Richardson, NP

  • Nurse Practitioner
  • Raritan, NJ
National Provider Identifier
1528044492
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NO08212600 Issued in NJ
Practice address
215 W End Ave
Raritan, NJ 08869-1329
Phone
(908) 333-4008
Fax
(908) 333-4009
NPI assigned
Dec 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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 26NO08212600 NJ Primary

Addresses

Primary practice location

215 W End Ave
Raritan, NJ 08869-1329

Mailing address

215 W End Ave
Raritan, NJ 08869-1329
Phone (908) 333-4008

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
I20041103000982 NJ Practitioner - Nurse Practitioner 7012979735 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychiatric and Behavirol Health Solutions, LLC.Group PAC ID 9133364425, 6 clinicians

Practice addresses (Care Compare)

215 W End Ave
Raritan, NJ 08869-1329
Phone 90833340081809

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NO08212600NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fellowship Senior Living, Inc. CurrentSince Jun 12, 2010 Accepting new patients
Fellowship Village Inc. CurrentSince Jun 12, 2010 Accepting new patients
Psychiatric and Behavirol Health Solutions, LLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

8000 Fellowship Rd
Basking Ridge, NJ 07920
Phone (908) 580-3800

215 W End Ave
Raritan, NJ 08869
Phone (908) 333-4008

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19916/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1528044492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W END AVE",
            "city": "RARITAN",
            "state": "NJ",
            "postal_code": "088691329",
            "telephone_number": "908-333-4008",
            "fax_number": "908-333-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W END AVE",
            "city": "RARITAN",
            "state": "NJ",
            "postal_code": "088691329",
            "telephone_number": "908-333-4008",
            "fax_number": "908-333-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "MARY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-21",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NO08212600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raritan, NJ

Sources for this page

Verify at the official NPI Registry.