Roberta F Mennie, NURSE PRACTITIONER

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

26NJ00057700 Issued in NJ

Practice address

22 Jennifer Dr
Howell, NJ 07731-2367

Phone

(732) 367-6131

NPI assigned

Feb 22, 2006

Last updated

Apr 29, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Associated Cardiovascular Consultants

  • Cardiovascular Disease Physician
  • Cherry Hill, NJ
  • NPI 1518069996
  NPD (past)
• Apogee Medical Group of New Jersey PA

  • Internal Medicine Physician
  • Scottsdale, AZ
  • NPI 1104873629
  NPD (past)

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240963200000",
    "number": "1760457774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 RIVER AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015227",
            "telephone_number": "732-886-9101",
            "fax_number": "732-886-9523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 JENNIFER DR",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077312367",
            "telephone_number": "732-367-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENNIE",
        "first_name": "ROBERTA",
        "middle_name": "F",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2009-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "26NJ00057700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0062472",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maryann Susan McGee
• Janna McGuire, APN
• Christine K McLeod, BCBA
• Daniel McRory, PA-C
• Medexpress Urgent Care - New Jersey, Inc (MedExpress Urgent Care - Howell, US Highway 9)
• Mentor Therapeutic Services, LLC
• Michael Messina
• Metropolitan Home Health of New Jersey
• Cathy L Metta, RNC
• Michael a. McAleese, OD, PA

• Acute Care Nurse Practitioner in Howell, NJ
• Providers in Howell, NJ by specialty
• Acute Care Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.