Individual provider Active NPI

Ryan Emmert

  • Family Nurse Practitioner
  • Washington, NJ
National Provider Identifier
1629705454
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ14916500 Issued in NJ
Practice address
6 Club House Dr Ste 102
Washington, NJ 07882-2213
Phone
(908) 237-4144
NPI assigned
Aug 2, 2022
Last updated
Sep 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 26NR21346100 NJ
Family Nurse Practitioner 363LF0000X 26NJ14916500 NJ Primary

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

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
I20231201001185 NJ Practitioner - Nurse Practitioner 5698123693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hunterdon Primary Care PCGroup PAC ID 4486951183, 62 clinicians

Practice addresses (Care Compare)

6 Club House Dr
Suite 102
Washington, NJ 07882-2213
Phone (908) 237-4144

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NR21346100NJMDEmergency Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Hunterdon Primary Care PC CurrentSince Nov 1, 2023 Accepting new patients
Hunterdon Primary Care PC Current Accepting new patients
Hunterdon Primary Care, PC CurrentSince Nov 1, 2023 Accepting new patients

Locations

384 County Road 513
Califon, NJ 07830
Phone (908) 832-2125

2100 Wescott Dr
Flemington, NJ 08822
Phone (908) 237-5420

215 State Route 31
#116
Flemington, NJ 08822

3 Minneakoning Rd
Flemington, NJ 08822
Phone (908) 284-1125

59 E Mill Rd
Unit 201
Long Valley, NJ 07853
Phone (908) 876-5300

62 E Mill Rd
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

  • Direct secure messaging: ryan.emmert.p112@direct.hunterdon.nextgenshare.com
  • Direct secure messaging: ryan.emmert.p117@direct.hunterdon.nextgenshare.com
  • Direct secure messaging: ryan.emmert.p70@direct.hunterdon.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1629705454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CLUB HOUSE DR STE 102",
            "city": "WASHINGTON",
            "state": "NJ",
            "postal_code": "078822213",
            "telephone_number": "908-237-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CLUB HOUSE DR STE 102",
            "city": "WASHINGTON",
            "state": "NJ",
            "postal_code": "078822213",
            "telephone_number": "908-237-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMMERT",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-02",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "NJ",
            "license": "26NR21346100",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ14916500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, NJ

Sources for this page

Verify at the official NPI Registry.