Active NPI
Adriana Ackerman, ANCC
- Adult Health Nurse Practitioner
- Somerset, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 2006010102-21
- Practice address
- 75 Veronica Ave
Suite 204
Somerset, NJ 08873-5002 - Phone
- (732) 828-0002
- Fax
- (732) 828-7070
- NPI assigned
- Dec 5, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 2006010102-21 | NJ | Primary |
Addresses
Primary practice location
75 Veronica Ave
Suite 204
Somerset, NJ 08873-5002
Mailing address
75 Veronica Ave
Suite 204
Somerset, NJ 08873-5002
Phone (732) 828-0002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2006010102-21 | Other | NJ | APN CERTIFICATE |
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, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Union Valley Rd
Suite 203
Monroe Township, NJ 08831-6000
Phone (609) 655-2255
75 Veronica Ave
Suite 204
Somerset, NJ 08873-5002
Phone (732) 828-0002
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006010102-21 | NJ | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Jersey Internal Medicine Associates,PA | Current | Accepting new patients | |
| Central Jersey Internal Medicine Associates P a | Past | Accepting new patients |
Locations
111 Union Valley Rd
Ste 203
Monroe Township, NJ 08831
Phone (609) 655-2255
75 Veronica Ave
Ste 204
Somerset, NJ 08873
Phone (732) 828-0002
Interoperability endpoints
- adriana.ackerman.1@19815.direct.athenahealth.com
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.
-
- Internal Medicine Physician
- Somerset, NJ
- NPI 1962427484
-
dba Central Jersey Internal Medicine - Somerset
- Non-Pharmacy Dispensing Site
- Somerset, NJ
- NPI 1295178150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740348580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 VERONICA AVE",
"address_2": "SUITE 204",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088735002",
"telephone_number": "732-828-0002",
"fax_number": "732-828-7070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 VERONICA AVE",
"address_2": "SUITE 204",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088735002",
"telephone_number": "732-828-0002",
"fax_number": "732-828-7070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACKERMAN",
"first_name": "ADRIANA",
"credential": "ANCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NJ",
"license": "2006010102-21",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APN CERTIFICATE",
"identifier": "2006010102-21",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Somerset, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.