Active NPI
Rachael Headden
- Nurse Practitioner
- Freehold, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 26NJ01386400
- Practice address
- 901 W Main St
Freehold, NJ 07728-2549 - Phone
- (732) 431-2000
- NPI assigned
- Oct 21, 2022
- Last updated
- Apr 26, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 26NJ01386400 | NJ | Primary |
Addresses
Primary practice location
901 W Main St
Freehold, NJ 07728-2549
Mailing address
23 Eugene Blvd
South Amboy, NJ 08879-1906
Phone (732) 616-8636
Other practice location 1
1 Robert Wood Johnson Pl
New Brunswick, NJ 08901-1928
Phone (732) 828-3000
Other names 1
- Rachael Headden
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
Enrollment records 1
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
Practice addresses (Care Compare)
1 Bay Ave
Montclair, NJ 07042-4837
Phone (973) 429-6000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rwjbh Observation Associates LLC | Nurse Practitioner | Current | Accepting new patients |
| Robert Wood Johnson Medical Associates | Current | Accepting new patients | |
| Rwjbh Emergency Medicine Associates, LLC | Nurse Practitioner | Current | Accepting new patients |
| Rwjbh Primary Care Services | Nurse Practitioner | Past | Accepting new patients |
Locations
225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204
600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900
1945 Corlies Ave
#33
Neptune City, NJ 07753
Phone (732) 776-4203
1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887
110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833
99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000
1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763
Interoperability endpoints
- rheadden501417@direct.ahsys.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Montclair, NJ
- NPI 1134534688
-
- Hospitalist Physician
- New Brunswick, NJ
- NPI 1902848625
-
- Emergency Medicine Physician
- Somerset, NJ
- NPI 1912510041
Nurse Practitioner
-
- Emergency Medicine Physician
- Livingston, NJ
- NPI 1760095806
Nurse Practitioner
-
- Internal Medicine Physician
- West Orange, NJ
- NPI 1265037501
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682467200000",
"number": "1528785490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 EUGENE BLVD",
"city": "SOUTH AMBOY",
"state": "NJ",
"postal_code": "088791906",
"telephone_number": "732-616-8636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 W MAIN ST",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077282549",
"telephone_number": "732-431-2000"
}
],
"practiceLocations": [
{
"address_1": "1 Robert Wood Johnson Pl",
"address_purpose": "LOCATION",
"city": "New Brunswick",
"state": "NJ",
"postal_code": "089011928",
"country_code": "US",
"telephone_number": "732-828-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEADDEN",
"first_name": "RACHAEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-21",
"last_updated": "2023-04-26",
"certification_date": "2023-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "26NJ01386400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RACHAEL",
"last_name": "HEADDEN",
"credential": "APN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Freehold, NJ
- Charles Weston Hayne, DO
- Haynie Audiology & Hearing Associates LLC
- Alexandra Haynie, AUD
- Head to Health Psychiatry, LLC
- Headache & Neurological Care Center of New Jersey
- Heal and Care Pediatrics, PA
- Heal Psychotherapy
- Health Affiliates, Inc. (The Manor)
- Health and Wound Care Solutions
- Health Diagnostics of New Jersey, LLC (Tricat LLC)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.