Individual provider Active NPI

Justene L Mooney, NP

  • Nurse Practitioner
  • Old Bridge, NJ
National Provider Identifier
1659655058
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00344400 Issued in NJ
Practice address
3548 Route 9 Ste 2
Old Bridge, NJ 08857-2765
Phone
(732) 679-6300
Fax
(732) 679-9566
NPI assigned
Oct 4, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26NR12434600 NJ
Family Nurse Practitioner 363LF0000X 26NJ00344400 NJ
Nurse Practitioner 363L00000X 26NJ00344400 NJ Primary

Addresses

Primary practice location

3548 Route 9 Ste 2
Old Bridge, NJ 08857-2765

Mailing address

3548 Route 9
Suite 2
Old Bridge, NJ 08857
Phone (732) 679-6300

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
I20111207000026 NJ Practitioner - Nurse Practitioner 0244405074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Associates of Central New Jersey PAGroup PAC ID 4688697394, 11 clinicians

Practice addresses (Care Compare)

28 Throckmorton LN
Suite 204
Old Bridge, NJ 08857-2558
Phone (732) 679-6300

3548 Route 9
Old Bridge, NJ 08857-2765
Phone (732) 679-6300

3548 Route 9 S
Suite 2
Old Bridge, NJ 08857-2765

Hospital & facility affiliations

  • Raritan Bay Medical Center Hospital, Perth Amboy, NJ, CCN 310039

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NR12434600NJMDRegistered Nurse
26NJ00344400NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates of Central New Jersey, PA CurrentSince Jul 1, 2017 Accepting new patients
Shonta D Collins Consulting Group LLC Nurse Practitioner PastSince Feb 23, 2020 Accepting new patients

Locations

250 South St
Freehold, NJ 07728
Phone (732) 780-7870

3548 US Highway 9
Ste 2
Old Bridge, NJ 08857
Phone (732) 679-6300

28 Throckmorton Ln
Ste 204
Old Bridge, NJ 08857
Phone (732) 679-6300

Interoperability endpoints

  • Direct secure messaging: justene@centralnj.emadirect.md

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1317686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1659655058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3548 ROUTE 9",
            "address_2": "SUITE 2",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "08857",
            "telephone_number": "732-679-6300",
            "fax_number": "732-679-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3548 ROUTE 9 STE 2",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572765",
            "telephone_number": "732-679-6300",
            "fax_number": "732-679-9566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "JUSTENE",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR12434600",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00344400",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00344400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

Verify at the official NPI Registry.