Active NPI
Mary Ann Lancaster, APRN BC
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- Bridgewater, NJ
National Provider Identifier
1740354554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- License
- 26NO04712900
- Practice address
- 500 North Bridge Street
Richard Hall Community Mental Health Center
Bridgewater, NJ 08807 - Phone
- (908) 253-3166
- Fax
- (908) 704-1790
- NPI assigned
- Nov 20, 2006
- 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 Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | 26NO04712900 | NJ | Primary |
Addresses
Primary practice location
500 North Bridge Street
Richard Hall Community Mental Health Center
Bridgewater, NJ 08807
Mailing address
723 Kearny Avenue
Kearny, NJ 07032-3005
Phone (201) 997-7303
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NO04712900 | NJ | MD | Adult Psychiatric/Mental Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740354554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "723 KEARNY AVENUE",
"city": "KEARNY",
"state": "NJ",
"postal_code": "070323005",
"telephone_number": "201-997-7303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 NORTH BRIDGE STREET",
"address_2": "RICHARD HALL COMMUNITY MENTAL HEALTH CENTER",
"city": "BRIDGEWATER",
"state": "NJ",
"postal_code": "08807",
"telephone_number": "908-253-3166",
"fax_number": "908-704-1790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANCASTER",
"first_name": "MARY ANN",
"name_prefix": "Ms.",
"credential": "APRN BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0809X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
"state": "NJ",
"license": "26NO04712900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgewater, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.