Individual provider Active NPI

Jasmina Vanburen, NP-C

  • Family Medicine Physician
  • Marlboro, NJ
National Provider Identifier
1760076574
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26NJ01117900 Issued in NJ
Practice address
15 School Rd E Ste 2
Marlboro, NJ 07746-2061
Phone
(732) 866-9922
Fax
(732) 866-9970
NPI assigned
Feb 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 26NJ01117900 NJ Primary

Addresses

Primary practice location

15 School Rd E Ste 2
Marlboro, NJ 07746-2061

Mailing address

217 San Fernando Dr
Lavallette, NJ 08735-1629
Phone (914) 703-0805

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
I20210304002097 NJ Practitioner - Nurse Practitioner 6204242969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jersey Shore Geriatrics IncGroup PAC ID 5597910133, 10 clinicians

Practice addresses (Care Compare)

15 School Rd E
Suite 2
Marlboro, NJ 07746-2061
Phone (732) 866-9922

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ01117900NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jersey Shore Geriatrics Inc CurrentSince Feb 1, 2021 Accepting new patients
Jersey Shore Geriatrics LLC Past Accepting new patients

Locations

100 Meridian Pl
Howell, NJ 07731
Phone (732) 677-1046

1400 Route 70
Lakewood, NJ 08701
Phone (732) 270-0444

15 School Rd E
Ste 2
Marlboro, NJ 07746
Phone (732) 866-9922

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1760076574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 SAN FERNANDO DR",
            "city": "LAVALLETTE",
            "state": "NJ",
            "postal_code": "087351629",
            "telephone_number": "914-703-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SCHOOL RD E STE 2",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077462061",
            "telephone_number": "732-866-9922",
            "fax_number": "732-866-9970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANBUREN",
        "first_name": "JASMINA",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-02-22",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "26NJ01117900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlboro, NJ

Sources for this page

Verify at the official NPI Registry.