Individual provider Active NPI

Judith Llenos Cebedo, NP-C

  • Family Nurse Practitioner
  • Scotch Plains, NJ
National Provider Identifier
1790168607
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00546100 Issued in NJ
Practice address
1517 Front St
Scotch Plains, NJ 07076-1176
Phone
(908) 448-0828
NPI assigned
Jul 9, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 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 26NJ00546100 NJ Primary

Addresses

Primary practice location

1517 Front St
Scotch Plains, NJ 07076-1176

Mailing address

1517 Front St
Scotch Plains, NJ 07076-1176
Phone (908) 448-0828

Other practice location 1

32 Clinton St
Paterson, NJ 07522-1775
Phone (973) 790-6594

Other identifiers 1

IdentifierTypeStateIssuer
26NJ00546100OtherNJSTATE LICENSE

Other names 1

  • Judy L Cebedo Other name

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
I20171214000228 NJ Practitioner - Nurse Practitioner 2466710744 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00546100NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Spinecare & Rehabilitation Medicine PC CurrentSince Jul 29, 2024 Accepting new patients
Central Jersey Medical Center, Inc CurrentSince Apr 18, 2022 Accepting new patients
Central Jersey Medical Center, Inc. CurrentSince Apr 18, 2022 Accepting new patients
Immediate Care Medical Walk-in of Hazlet, PA CurrentSince Aug 15, 2021 Accepting new patients
Urgent Care Physicians of New Jersey, LLC CurrentSince Aug 15, 2021 Accepting new patients

Locations

319 US Highway 130
East Windsor, NJ 08520
Phone (609) 426-4300

1376 State Route 36
Hazlet, NJ 07730
Phone (732) 264-5500

80 Johnson Ave
Newark, NJ 07108
Phone (973) 623-8592

3107 Kennedy Blvd
North Bergen, NJ 07047
Phone (201) 866-2800

275 Hobart St
Perth Amboy, NJ 08861
Phone (732) 376-6635

46 Newman Springs Rd E
Ste F
Red Bank, NJ 07701
Phone (732) 933-4100

381 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 530-1300

1 Route 37 W
Toms River, NJ 08753
Phone (732) 281-3201

Interoperability endpoints

  • Direct secure messaging: hackensackmeridian.judithcebedo@136290.advancedmd-direct.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1790168607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 FRONT ST",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070761176",
            "telephone_number": "908-448-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 FRONT ST",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070761176",
            "telephone_number": "908-448-0828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32 Clinton St",
            "address_purpose": "LOCATION",
            "city": "Paterson",
            "state": "NJ",
            "postal_code": "075221775",
            "country_code": "US",
            "telephone_number": "973-790-6594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CEBEDO",
        "first_name": "JUDITH",
        "middle_name": "LLENOS",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00546100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "26NJ00546100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDY",
            "last_name": "CEBEDO",
            "middle_name": "L",
            "credential": "NP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Scotch Plains, NJ

Sources for this page

Verify at the official NPI Registry.