Individual provider Active NPI

Natalie Corlett, APN

  • Pediatric Nurse Practitioner
  • Long Branch, NJ
National Provider Identifier
1578934725
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
26NJ00596400 Issued in NJ
Practice address
279 3Rd Ave
Suite 306
Long Branch, NJ 07740-6211
Phone
(732) 923-6091
NPI assigned
Oct 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 26NJ00596400 NJ Primary

Addresses

Primary practice location

279 3Rd Ave
Suite 306
Long Branch, NJ 07740-6211

Mailing address

279 3Rd Ave
Suite 306
Long Branch, NJ 07740-6211
Phone (732) 923-6091

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
I20160113002392 NJ Practitioner - Nurse Practitioner 5597067157 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00596400NJMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers Health-RWJ Neurosurgery Faculty CurrentSince Jul 1, 2024 Accepting new patients
Rutgers Health-RWJ Neurosurgery Faculty CurrentSince Jul 1, 2024 Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC CurrentSince Mar 7, 2023 Accepting new patients
Rutgers Health-RWJ Neurosurgery Faculty Current Accepting new patients

Locations

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

27 S Cooks Bridge Rd
Ste 2-5
Jackson, NJ 08527
Phone (732) 987-5530

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

279 3rd Ave
Ste 306
Long Branch, NJ 07740
Phone (732) 235-6813

19 Davis Ave
Ste 5
Neptune, NJ 07753

19 Davis Ave
Fl 4
Neptune City, NJ 07753
Phone (732) 212-6598

19 Davis Ave
Fl 5
Neptune City, NJ 07753
Phone (732) 776-4268

3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463

19 Davis Ave
Neptune City, NJ 07753
Phone (732) 776-4551

125 Paterson St
Ste 4100
New Brunswick, NJ 08901
Phone (732) 235-7756

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333

Organizations & group practices 4

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": "1444780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484006400000",
    "number": "1578934725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 3RD AVE",
            "address_2": "SUITE 306",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406211",
            "telephone_number": "732-923-6091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 3RD AVE",
            "address_2": "SUITE 306",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406211",
            "telephone_number": "732-923-6091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORLETT",
        "first_name": "NATALIE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-14",
        "last_updated": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "26NJ00596400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Branch, NJ

Sources for this page

Verify at the official NPI Registry.