Individual provider Active NPI

Jennifer Bannon, APN

  • Family Nurse Practitioner
  • Howell, NJ
National Provider Identifier
1760127930
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01288100 Issued in NJ
Practice address
1903 Salerno Way
Howell, NJ 07731-1762
Phone
(908) 433-1576
NPI assigned
May 3, 2022
Last updated
May 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01288100 NJ Primary

Addresses

Primary practice location

1903 Salerno Way
Howell, NJ 07731-1762

Mailing address

1903 Salerno Way
Howell, NJ 07731-1762
Phone (908) 433-1576

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
I20230216000023 NJ Practitioner - Nurse Practitioner 9931571171 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Manish Saini MD LLCGroup PAC ID 7810906278, 4 clinicians
Garden State Internists LLCGroup PAC ID 6709265051, 4 clinicians

Practice addresses (Care Compare)

1163 Rte 37
Suite B1
Toms River, NJ 08755-4974
Phone (732) 341-7900

16 Thoreau Dr
Freehold, NJ 07728-4666
Phone (732) 761-0221

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Care on Wheels LLC Current Accepting new patients
Manish Saini MD LLC CurrentSince Dec 1, 2022 Accepting new patients
Garden State Internists LLC CurrentSince Dec 1, 2022 Accepting new patients

Locations

1608 Route 88
Ste 205
Brick, NJ 08724
Phone (732) 458-0300

16 Thoreau Dr
Freehold, NJ 07728
Phone (732) 597-0596

411 Route 9
Ste 6
Lanoka Harbor, NJ 08734
Phone (609) 971-1711

1163 Route 37 W
Ste B1
Toms River, NJ 08755
Phone (609) 971-1711

Organizations & group practices 4

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": "1651536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1760127930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 SALERNO WAY",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077311762",
            "telephone_number": "908-433-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 SALERNO WAY",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077311762",
            "telephone_number": "908-433-1576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANNON",
        "first_name": "JENNIFER",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-05-03",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01288100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, NJ

Sources for this page

Verify at the official NPI Registry.