Organization Active NPI

Quantum Integrative Medicine

  • Family Nurse Practitioner
  • Union, NJ
National Provider Identifier
1689100323
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00629000 Issued in NJ
Legal business name
QUANTUM INTEGRATIVE MEDICINE
Practice address
1362 Morris Ave
Union, NJ 07083-3342
Phone
(908) 755-0200
Fax
(908) 603-8343
NPI assigned
May 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Authorized official

Name
Ann Mills
Title
Manager
Phone
(732) 913-7080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 26NJ00629000 NJ Primary

Addresses

Primary practice location

1362 Morris Ave
Union, NJ 07083-3342

Mailing address

1362 Morris Ave Ste 1
Union, NJ 07083-3342
Phone (908) 755-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170608000032 NJ Part B Supplier - Clinic/Group Practice 4284902628 Receives reassigned benefits from 1 practitioner
Practice locations: Union, NJ

National Provider Directory

National Provider Directory

Locations

1362 Morris Ave
Ste 1
Union, NJ 07083

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1689100323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1362 MORRIS AVE STE 1",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070833342",
            "telephone_number": "908-755-0200",
            "fax_number": "908-603-8343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1362 MORRIS AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070833342",
            "telephone_number": "908-755-0200",
            "fax_number": "908-603-8343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANTUM INTEGRATIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-01",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-913-7080"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00629000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.