Individual provider Active NPI

Amy Lynn Larocca, RN, APN-C

  • Adult Health Nurse Practitioner
  • Tinton Falls, NJ
National Provider Identifier
1639388283
Registry record updated Jan 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00079600 Issued in NJ
Practice address
2 Centre Plaza
Central Jersey Rehabilitation Medicine, LLC
Tinton Falls, NJ 07724
Phone
(732) 460-5360
Fax
(732) 460-7442
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00079600 NJ Primary

Addresses

Primary practice location

2 Centre Plaza
Central Jersey Rehabilitation Medicine, LLC
Tinton Falls, NJ 07724

Mailing address

2 Centre Plaza
Central Jersey Rehabilitation Medicine, LLC
Tinton Falls, NJ 07724
Phone (732) 460-5360

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
I20050712000007 NJ Practitioner - Nurse Practitioner 0941236921

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Jersey Rehabilitation Medicine, LLC PastSince Feb 7, 2021 Accepting new patients

Organizations & group practices 1

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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233100800000",
    "number": "1639388283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CENTRE PLAZA",
            "address_2": "CENTRAL JERSEY REHABILITATION MEDICINE, LLC",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "07724",
            "telephone_number": "732-460-5360",
            "fax_number": "732-460-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CENTRE PLAZA",
            "address_2": "CENTRAL JERSEY REHABILITATION MEDICINE, LLC",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "07724",
            "telephone_number": "732-460-5360",
            "fax_number": "732-460-7442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAROCCA",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "credential": "RN, APN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2009-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00079600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinton Falls, NJ

Sources for this page

Verify at the official NPI Registry.