Individual provider Active NPI

Nadiya Grubyak, APN

  • Adult Health Nurse Practitioner
  • Clifton, NJ
National Provider Identifier
1659102689
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ15058300 Issued in NJ
Practice address
1135 Main Ave
Clifton, NJ 07011-2353
Phone
(862) 238-8181
NPI assigned
Aug 12, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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 26NJ15058300 NJ Primary

Addresses

Primary practice location

1135 Main Ave
Clifton, NJ 07011-2353

Mailing address

4 Kemple LN
Hackettstown, NJ 07840-2676
Phone (551) 358-1574

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
I20250916004896 NJ Practitioner - Nurse Practitioner 9032613757 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
Al Obaidi MD LLCGroup PAC ID 4284012352, 4 clinicians

Practice addresses (Care Compare)

55 Meadowlands Pkwy
FL 3
Secaucus, NJ 07094-2977
Phone (551) 333-3686

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ15058300NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Al Obaidi MD LLC CurrentSince Jul 5, 2025 Accepting new patients

Locations

55 Meadowlands Pkwy
Fl 3
Secaucus, NJ 07094
Phone (201) 392-3588

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": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1659102689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 KEMPLE LN",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402676",
            "telephone_number": "551-358-1574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 MAIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112353",
            "telephone_number": "862-238-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBYAK",
        "first_name": "NADIYA",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ15058300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.