Individual provider Active NPI

Heather Kozuba, APN

  • Nurse Practitioner
  • Ocean City, NJ
National Provider Identifier
1578036950
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00892300 Issued in NJ
Practice address
956 Asbury Ave FL 2
Ocean City, NJ 08226-3536
Phone
(609) 318-4922
NPI assigned
Jan 8, 2019
Last updated
Feb 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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 26NJ00892300 NJ Primary

Addresses

Primary practice location

956 Asbury Ave FL 2
Ocean City, NJ 08226-3536

Mailing address

956 Asbury Ave FL 2
Ocean City, NJ 08226-3536
Phone (609) 318-4922

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
I20251013003374 NJ Order and Referring Only - Nurse Practitioner 3274862651

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Compassionate Care Hospice of Marlton, LLC PastSince Jan 20, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1578036950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "956 ASBURY AVE FL 2",
            "city": "OCEAN CITY",
            "state": "NJ",
            "postal_code": "082263536",
            "telephone_number": "609-318-4922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "956 ASBURY AVE FL 2",
            "city": "OCEAN CITY",
            "state": "NJ",
            "postal_code": "082263536",
            "telephone_number": "609-318-4922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZUBA",
        "first_name": "HEATHER",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-08",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00892300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean City, NJ

Sources for this page

Verify at the official NPI Registry.