Individual provider Active NPI

Nataliya Ioshpa, NP

  • Nurse Practitioner
  • West Orange, NJ
National Provider Identifier
1700162773
Registry record updated Oct 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00328100 Issued in NJ
Practice address
101 Old Short Hills Rd Ste 501
West Orange, NJ 07052-1080
Phone
(973) 731-2000
NPI assigned
Oct 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00328100 NJ Primary

Addresses

Primary practice location

101 Old Short Hills Rd Ste 501
West Orange, NJ 07052-1080

Mailing address

101 Old Short Hills Rd Ste 501
West Orange, NJ 07052-1080
Phone (973) 731-2000

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
I20120425000436 NJ Practitioner - Nurse Practitioner 3678735370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Surg-Elite PCGroup PAC ID 4789779901, 2 clinicians

Practice addresses (Care Compare)

101 Old Short Hills Rd
Suite 501
West Orange, NJ 07052-1080
Phone (973) 731-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00328100NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Surg-Elite PC CurrentSince Mar 3, 2012 Accepting new patients
Salas Plastic Surgery CurrentSince Oct 27, 2012 Accepting new patients

Locations

101 Old Short Hills Rd
Ste 501
West Orange, NJ 07052
Phone (973) 731-2000

Interoperability endpoints

  • Direct secure messaging: nioshpa260869@epicdirect.rwjbh.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1319241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319241600000",
    "number": "1700162773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 OLD SHORT HILLS RD STE 501",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521080",
            "telephone_number": "973-731-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 OLD SHORT HILLS RD STE 501",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521080",
            "telephone_number": "973-731-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IOSHPA",
        "first_name": "NATALIYA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-22",
        "last_updated": "2011-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00328100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

Verify at the official NPI Registry.