Individual provider Active NPI

Rachel Erasmo

  • Gerontology Nurse Practitioner
  • Ridgefield Park, NJ
National Provider Identifier
1558055855
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26NR14969800 Issued in NJ
Practice address
100 Challenger Rd # 205
Ridgefield Park, NJ 07660-2108
Phone
(443) 383-9300
NPI assigned
Jun 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 26NR14969800 NJ Primary

Addresses

Primary practice location

100 Challenger Rd # 205
Ridgefield Park, NJ 07660-2108

Mailing address

909 Ridgebrook Rd Ste 300
Sparks, MD 21152-9477
Phone (443) 383-9300

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
I20230906004337 NJ Practitioner - Nurse Practitioner 7911361159 Reassigns benefits to 7 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
Evolution Wound Management of NJ PCGroup PAC ID 0345744900, 2 clinicians
Bergen Geriatric Care, LLCGroup PAC ID 6507016706, 7 clinicians

Practice addresses (Care Compare)

410 Monmouth Ave
Apt 208
Lakewood, NJ 08701-3747
Phone (800) 914-3592

700 Kinderkamack Rd
Suite 202
Oradell, NJ 07649-1533
Phone (201) 387-2003

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NR14969800NJMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Evolution Wound Management of NJ PC CurrentSince Sep 18, 2025 Accepting new patients
Restore First Health NJ LLC CurrentSince Apr 1, 2024 Accepting new patients
Consonant Healing Medical Associates of NJ LLC CurrentSince Jul 13, 2023 Accepting new patients
Life Mobile Imaging, Inc CurrentSince Jan 1, 2025 Accepting new patients
Life Medical Group, PC CurrentSince Feb 1, 2025 Accepting new patients
Promed Preferred NJ P.C. CurrentSince Dec 5, 2024 Accepting new patients
Bastidas Plastic Surgery, PC CurrentSince Oct 20, 2024 Accepting new patients
Bergen Geriatric Care, LLC CurrentSince Feb 17, 2025 Accepting new patients
Senf NP Family Medicine PLLC Past Accepting new patients

Locations

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

2650 Route 130
Ste L
Cranbury, NJ 08512
Phone (862) 314-7030

300B Princeton Hightstown Rd
Ste 202
East Windsor, NJ 08520
Phone (702) 303-4220

70 S Orange Ave
Ste 140
Livingston, NJ 07039
Phone (973) 650-0542

70 S Orange Ave
Ste 235
Livingston, NJ 07039
Phone (973) 607-4911

700 Kinderkamack Rd
Ste 202
Oradell, NJ 07649
Phone (201) 387-2003

228 Roseberry St
Ste 5
Phillipsburg, NJ 08865
Phone (908) 213-3433

100 Challenger Rd
Ste 205
Ridgefield Park, NJ 07660

100 Challenger Rd
#205
Ridgefield Pk, NJ 07660

277 Route 70
Ste 231
Toms River, NJ 08755
Phone (212) 516-2300

2381 Lawrenceville Rd
Trenton, NJ 08648
Phone (609) 896-8152

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: rachel.erasmo@255168226787332.direct.elationemr.com

Organizations & group practices 9

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": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1558055855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 RIDGEBROOK RD STE 300",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529477",
            "telephone_number": "443-383-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CHALLENGER RD # 205",
            "city": "RIDGEFIELD PARK",
            "state": "NJ",
            "postal_code": "076602108",
            "telephone_number": "443-383-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERASMO",
        "first_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NR14969800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield Park, NJ

Sources for this page

Verify at the official NPI Registry.