Ryan Emmert
Individual provider Active NPI Family Nurse Practitioner · Washington, NJ
NPI 1629705454 · NPPES record last updated Sep 14, 2023
Key facts
- NPI
- 1629705454
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 26NJ14916500 (NJ)
- Practice address
- 6 Club House Dr Ste 102
Washington, NJ 07882-2213 - Phone
- (908) 237-4144
- NPI assigned
- Aug 2, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hunterdon Primary Care PC
Practice addresses (Care Compare)
6 Club House Dr
Suite 102
Washington, NJ 07882-2213
Phone (908) 237-4144
Hospital & facility affiliations
- Hunterdon Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231201001185 | NJ | Practitioner - Nurse Practitioner | 5698123693 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR21346100 | NJ | MD | Emergency Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hunterdon Primary Care, PC | Current |
Accepting new patients | |
| Hunterdon Primary Care PC | Current |
Accepting new patients | |
| Hunterdon Primary Care PC | Current | Accepting new patients | |
| Hunterdon Primary Care PC | Past | Accepting new patients |
Locations
384 County Road 513
Califon, NJ 07830
Phone (908) 832-2125
215 State Route 31
#116
Flemington, NJ 08822
2100 Wescott Dr
Flemington, NJ 08822
Phone (908) 237-5420
3 Minneakoning Rd
Flemington, NJ 08822
Phone (908) 284-1125
62 E Mill Rd
Long Valley, NJ 07853
Phone (908) 876-9000
59 E Mill Rd
Unit 201
Long Valley, NJ 07853
Phone (908) 876-5300
84 Route 31 N
Ste 103
Pennington, NJ 08534
Phone (609) 730-1771
207 Strykers Rd
Phillipsburg, NJ 08865
Phone (908) 847-6568
6 Club House Dr
Washington, NJ 07882
Phone (908) 237-4144
6 Club House Dr
Ste 102
Washington, NJ 07882
Phone (908) 237-4144
Interoperability endpoints
- ryan.emmert.p117@direct.hunterdon.nextgenshare.com
- ryan.emmert.p70@direct.hunterdon.nextgenshare.com
- ryan.emmert.p112@direct.hunterdon.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | 26NR21346100 | NJ | |
| Family Nurse Practitioner | 363LF0000X | 26NJ14916500 | NJ | Yes |
Addresses
Primary practice location
6 Club House Dr Ste 102
Washington, NJ 07882-2213
Mailing address
6 Club House Dr Ste 102
Washington, NJ 07882-2213
Phone (908) 237-4144
Other providers in Washington, NJ
- Dragontree Reading Center LLC
- Laura V. Duffy
- Cornelius Leon Dyson
- Cassandra Rae Eckert
- Michele Marie Eichorn
- Sean Maurice English
- Everbrook Counseling
- Everbrook Counseling, LLC
- Amanda Fama
- Family Guidance Center of Warren County
All providers in Washington, NJ · Family Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.