NPIMap

Individual provider Active NPI

Lydia May Grebe, APN

  • Family Nurse Practitioner
  • Columbus, NJ
National Provider Identifier
1780788729
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NN09610400 Issued in NJ
Practice address
23659 Columbus Rd Ste 4
Columbus, NJ 08022-1980
Phone
(609) 298-3304
Fax
(609) 298-7091
NPI assigned
Sep 11, 2006
Last updated
Dec 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 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 26NN09610400 NJ Primary

Addresses

Primary practice location

23659 Columbus Rd Ste 4
Columbus, NJ 08022-1980

Mailing address

401 Route 73 N Ste 320
Marlton, NJ 08053-3426
Phone (609) 298-3304

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lgrebe@cfp.directbygreenway.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090317000290 NJ Practitioner - Nurse Practitioner 0941367056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advocare, LLCGroup PAC ID 3678562188, 383 clinicians

Practice addresses (Care Compare)

132 Grove St
Suite a
Haddonfield, NJ 08033-1224
Phone (856) 354-2211

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NN09610400NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare, LLC CurrentSince Jan 1, 2023 Accepting new patients
Advocare , LLC CurrentSince Jan 1, 2023 Accepting new patients
Advocare Past Accepting new patients

Locations

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

25 Lindsley Dr
Ste 205
Morristown, NJ 07960
Phone (973) 993-8777

Interoperability endpoints

  • Direct secure messaging: lgrebe@cfp.directbygreenway.com
  • Direct secure messaging: lydia.grebe@advocaredoctors.eclinicaldirectplus.com

Organizations & group practices 3

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 6

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": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1780788729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 ROUTE 73 N STE 320",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533426",
            "telephone_number": "609-298-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23659 COLUMBUS RD STE 4",
            "city": "COLUMBUS",
            "state": "NJ",
            "postal_code": "080221980",
            "telephone_number": "609-298-3304",
            "fax_number": "609-298-7091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREBE",
        "first_name": "LYDIA",
        "middle_name": "MAY",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-11",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NN09610400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lgrebe@cfp.directbygreenway.com",
            "affiliation": "N",
            "address_1": "23659 Columbus Rd",
            "address_2": "Suite 4",
            "city": "Columbus",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080221979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, NJ

Sources for this page

Verify at the official NPI Registry.