Individual provider Active NPI

Adrianna Harulaj

  • Acute Care Nurse Practitioner
  • North Bergen, NJ
National Provider Identifier
1760078893
Registry record updated Dec 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
26NJ01073200 Issued in NJ
Practice address
9252 Kennedy Blvd Apt 405
North Bergen, NJ 07047-9300
Phone
(973) 525-0864
NPI assigned
Dec 13, 2020
Last updated
Dec 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 26NJ01073200 NJ Primary

Addresses

Primary practice location

9252 Kennedy Blvd Apt 405
North Bergen, NJ 07047-9300

Mailing address

9252 Kennedy Blvd Apt 405
North Bergen, NJ 07047-9300
Phone (973) 525-0864

Other identifiers 1

IdentifierTypeStateIssuer
0000000000MedicaidNJ

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
I20210115002228 NJ Practitioner - Nurse Practitioner 5294148078 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Englewood, PC CurrentSince Dec 1, 2020 Accepting new patients

Locations

1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008

946 Bloomfield Ave
Glen Ridge, NJ 07028
Phone (973) 376-3259

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

Interoperability endpoints

  • Direct secure messaging: aharulaj330264@ahs.direct-ci.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1607817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607817600000",
    "number": "1760078893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9252 KENNEDY BLVD APT 405",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070479300",
            "telephone_number": "973-525-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9252 KENNEDY BLVD APT 405",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070479300",
            "telephone_number": "973-525-0864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARULAJ",
        "first_name": "ADRIANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-13",
        "last_updated": "2020-12-13",
        "certification_date": "2020-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "26NJ01073200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000000000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bergen, NJ

Sources for this page

Verify at the official NPI Registry.