Judith Anne Connell, ANP-C
Individual provider Active NPI Family Nurse Practitioner · Sparta, NJ
NPI 1780157313 · NPPES record last updated Jan 7, 2019
Key facts
- NPI
- 1780157313
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 26NJ00894000 (NJ)
- Practice address
- 25 Main St
Sparta, NJ 07871-1937 - Phone
- (201) 602-1211
- NPI assigned
- Jan 7, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ennoble HC NJ PC
Practice addresses (Care Compare)
2 University PLZ
Suite 204
Hackensack, NJ 07601-6211
Phone (973) 241-1356
Hospital & facility affiliations
- Bayada Home Health Care, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190301000978 | NJ | Practitioner - Nurse Practitioner | 0941549349 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00894000 | NJ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omneity Health Care | Current |
Accepting new patients | |
| Harmony Medical Services of New Jersey LLC | Current | Accepting new patients | |
| Harmony Medical Services of New Jersey LLC | Current |
Accepting new patients | |
| Ennoble HC NJ PC | Current |
Accepting new patients | |
| Py Medical Services of NJ LLC | Current |
Accepting new patients |
Locations
2 University Plz
Ste 204
Hackensack, NJ 07601
Phone (201) 564-0142
28 Valley Rd
Montclair, NJ 07042
Phone (908) 451-8519
65 Jay St
Newark, NJ 07103
Phone (973) 447-8882
7999 N Route 130
Pennsauken, NJ 08110
Phone (786) 303-7860
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ00894000 | NJ | Yes |
Addresses
Primary practice location
25 Main St
Sparta, NJ 07871-1937
Mailing address
5 Hidden Valley Rd
Newton, NJ 07860-6129
Phone (201) 602-1211
Other names
- Mrs. Judy Connell
Other providers in Sparta, NJ
- Jeffrey F. Clauss
- Clear Horizons Theraputic Solutions
- Elizabeth A Colaiocco
- Arben Colaku
- Lillie I Coleman
- Patricia Nicole Conte
- Amanda L Cook
- Timothy P Cooke
- Hector Cordero
- Orlando Cordero
All providers in Sparta, NJ · Family Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.