Jeffrey Dynof, DNP, APN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ01195000 Issued in NJ

Practice address

151 Highway 516 Unit 2
Old Bridge, NJ 08857-6801

Phone

(732) 301-4711

NPI assigned

Sep 3, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

JLS Medical PCGroup PAC ID 7719342005, 53 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• JLS Medical PC

  • Psychiatry Physician
  • Newark, NJ
  • NPI 1164007043

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Optum Medical Care of New Jersey PC

  • Pediatrics Physician
  • New Hyde Park, NY
  • NPI 1578665048

  NJ

  Medicare reassignment NPD
• Optum Medical Care of New Jersey PC

  • Durable Medical Equipment & Medical Supplies
  • Belleville, NJ
  • NPI 1255050902
  NPD
• A.G. Dikengil, MD, PA

  • Radiology Clinic/Center
  • Lyndhurst, NJ
  • NPI 1205992690
  NPD (past)
• Bancroft, a New Jersey Nonprofit Corporation

  • Rehabilitation Clinic/Center
  • Cherry Hill, NJ
  • NPI 1720121106
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724544000000",
    "number": "1649948589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 HIGHWAY 516 UNIT 2",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088576801",
            "telephone_number": "732-301-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 HIGHWAY 516 UNIT 2",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088576801",
            "telephone_number": "732-301-4711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Broad St Ste 606",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071024537",
            "country_code": "US",
            "telephone_number": "201-822-1161",
            "fax_number": "877-485-8918",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "221 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Rutherford",
            "state": "NJ",
            "postal_code": "070702309",
            "country_code": "US",
            "telephone_number": "201-293-0976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DYNOF",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "DNP, APN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-03",
        "last_updated": "2024-08-25",
        "certification_date": "2024-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01195000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0817619",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr. Claro Asprec Pediatrics,LLC
• Dr.Shapiro Excel Rehabilitation PC
• Marina Dreytser, MSPT
• Daniel Dubinsky, OTR/L
• Charlotte K Duncan, RN BSN
• East Brunswick Foot Care, LLC
• Christina Ebel, FNP-C
• Edison Imaging Associates, PA
• Eihab Human Services New Jersey, Inc.
• Eihab Human Services New Jersey, Inc.

• Psychiatric/Mental Health Nurse Practitioner in Old Bridge, NJ
• Providers in Old Bridge, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.