Individual provider Active NPI

Dorine Wathington, NP

  • Family Nurse Practitioner
  • Jersey City, NJ
National Provider Identifier
1598030652
Registry record updated Dec 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00409800 Issued in NJ
Practice address
10 Hudson CT
Jersey City, NJ 07305-5515
Phone
(201) 926-5358
Fax
(201) 985-9323
NPI assigned
Mar 21, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F337159 NY
Family Nurse Practitioner 363LF0000X 26NJ00409800 NJ Primary

Addresses

Primary practice location

10 Hudson CT
Jersey City, NJ 07305-5515

Mailing address

10 Hudson CT
Jersey City, NJ 07305-5515
Phone (201) 926-5358

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130226000029 NJ Practitioner - Nurse Practitioner 8729233689 Reassigns benefits to 1 organization
I20250325000072 NY Practitioner - Nurse Practitioner 8729233689

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barnabas Health Medical Group, PCGroup PAC ID 0648172809, 257 clinicians

Practice addresses (Care Compare)

1691 Route 9
Toms River, NJ 08755-1245
Phone (732) 914-1688

Hospital & facility affiliations

  • Monmouth Medical Center-Southern Campus Hospital, Lakewood, NJ, CCN 310084

Merit-based Incentive Payment System (MIPS)

Final score
98.51 of 100Reported as apm
Quality
84.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F337159NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group, PC CurrentSince Nov 21, 2018 Accepting new patients
Eden Group Health LLC Family CurrentSince Jan 19, 2025 Accepting new patients

Locations

1691 US Highway 9
Toms River, NJ 08755
Phone (732) 914-1688

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

418 Broadway
Ste N
Albany, NY 12207
Phone (201) 278-8966

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355875200000",
    "number": "1598030652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HUDSON CT",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073055515",
            "telephone_number": "201-926-5358",
            "fax_number": "201-985-9323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HUDSON CT",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073055515",
            "telephone_number": "201-926-5358",
            "fax_number": "201-985-9323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATHINGTON",
        "first_name": "DORINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F337159",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00409800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.