Active NPI
Nadine A Williams, APN
- Adult Health Nurse Practitioner
- Clark, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 26NJ0067673800
- Practice address
- 152 Central Ave
Clark, NJ 07066-1115 - Phone
- (732) 382-9700
- NPI assigned
- Apr 6, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 26NJ0067673800 | NJ | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | 26NJ0067673800 | NJ | |
| Primary Care Nurse Practitioner | 363LP2300X | 26NJ0067673800 | NJ |
Addresses
Primary practice location
152 Central Ave
Clark, NJ 07066-1115
Mailing address
55 Manner Ave
Garfield, NJ 07026-1411
Phone (862) 668-7976
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
55 Mdwlands Pkwy
Secaucus, NJ 07094-2977
Phone (201) 325-6744
Hospital & facility affiliations
- Hudson Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ0067673800 | NJ | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excel Medical Group PC | Current | Accepting new patients | |
| Hudson Premier Medical PC | Current | Accepting new patients | |
| Crescent Medical Group PC | Past | Accepting new patients |
Locations
7511 Bergenline Ave
Ste 100
North Bergen, NJ 07047
7511 Bergenline Ave
North Bergen, NJ 07047
Phone (201) 855-5072
55 Meadowlands Pkwy
Fl 3
Secaucus, NJ 07094
Phone (201) 392-3588
55 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 325-6744
Organizations & group practices 4
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Secaucus, NJ
- NPI 1548809221
-
- Primary Care Clinic/Center
- North Bergen, NJ
- NPI 1518643444
-
- Urgent Care Clinic/Center
- East Orange, NJ
- NPI 1659882082
-
- Urgent Care Clinic/Center
- Roselle Park, NJ
- NPI 1669027140
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Secaucus, NJ
- NPI 1710491253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491436800000",
"number": "1679006563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 MANNER AVE",
"city": "GARFIELD",
"state": "NJ",
"postal_code": "070261411",
"telephone_number": "862-668-7976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "152 CENTRAL AVE",
"city": "CLARK",
"state": "NJ",
"postal_code": "070661115",
"telephone_number": "732-382-9700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "NADINE",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "APN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-06",
"last_updated": "2017-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NJ",
"license": "26NJ0067673800",
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NJ",
"license": "26NJ0067673800",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NJ",
"license": "26NJ0067673800",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; 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.