Individual provider Active NPI

Libbi Mendelovitz, FNP

  • Family Nurse Practitioner
  • Toms River, NJ
National Provider Identifier
1619663044
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20221388749 Issued in NJ
Practice address
466 Brentwood Ave
Toms River, NJ 08755-2008
Phone
(134) 776-0179
NPI assigned
Apr 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 20221388749 NJ Primary

Addresses

Primary practice location

466 Brentwood Ave
Toms River, NJ 08755-2008

Mailing address

466 Brentwood Ave
Toms River, NJ 08755-2008
Phone (134) 776-0179

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
20221388749NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Cape Post Acute Nursing and Rehabilitation Inc Current Accepting new patients
Harbour View Senior Living Corp Current Accepting new patients
Harbour View Senior Living Corp Current Accepting new patients

Organizations & group practices 3

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": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1619663044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 BRENTWOOD AVE",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087552008",
            "telephone_number": "134-776-0179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 BRENTWOOD AVE",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087552008",
            "telephone_number": "134-776-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDELOVITZ",
        "first_name": "LIBBI",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "20221388749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.