Individual provider Active NPI

Jessica April Fedder

  • Psychiatric/Mental Health Nurse Practitioner
  • Manalapan, NJ
National Provider Identifier
1619783727
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ15227000 Issued in NJ
Practice address
500 Park Ave
Manalapan, NJ 07726-8375
Phone
(267) 372-4109
NPI assigned
Dec 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP031052 PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ15227000 NJ Primary

Addresses

Primary practice location

500 Park Ave
Manalapan, NJ 07726-8375

Mailing address

41 Narcissus LN
Levittown, PA 19054-3401
Phone (267) 372-4109

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
I20250306002045 NJ Practitioner - Nurse Practitioner 7911428917 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Jersey Behavioral Health PCGroup PAC ID 4284001025, 127 clinicians
Stress Care of New Jersey, LLCGroup PAC ID 5294864575, 48 clinicians

Practice addresses (Care Compare)

10000 Midlantic Dr
Suite 101E
Mount Laurel, NJ 08054-1504
Phone (732) 982-2888

4122 Hwy 516
Matawan, NJ 07747-7031
Phone (732) 679-4500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP031052PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stress Care of New Jersey, LLC CurrentSince Feb 3, 2025 Accepting new patients
New Jersey Behavioral Health P.C CurrentSince Jan 5, 2026 Accepting new patients
Stress Care of New Jersey, LLC CurrentSince Feb 3, 2025 Accepting new patients

Locations

500 Park Ave
Manalapan, NJ 07726
Phone (732) 679-4500

4122 Route 516
Matawan, NJ 07747
Phone (732) 679-4500

10000 Midlantic Dr
Ste 101E
Mount Laurel, NJ 08054
Phone (855) 760-2933

61 Veronica Ave
Somerset, NJ 08873
Phone (732) 679-4500

88 Princeton Hightstown Rd
Ste 202
West Windsor, NJ 08550
Phone (609) 497-4900

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": "1733270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1619783727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 NARCISSUS LN",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190543401",
            "telephone_number": "267-372-4109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PARK AVE",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268375",
            "telephone_number": "267-372-4109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDDER",
        "first_name": "JESSICA",
        "middle_name": "APRIL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-04",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP031052",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15227000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

Verify at the official NPI Registry.