Active NPI
Jenny T Guevarra, NP
- Acute Care Nurse Practitioner
- Livingston, NJ
National Provider Identifier
1801130109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 26NJ00402000
- Practice address
- 94 Old Short Hills Rd
Livingston, NJ 07039-5672 - Phone
- (973) 322-5000
- NPI assigned
- Nov 27, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 26NJ00402000 | NJ | Primary |
| Acute Care Nurse Practitioner | 363LA2100X | F430665 | NY |
Addresses
Primary practice location
94 Old Short Hills Rd
Livingston, NJ 07039-5672
Mailing address
100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-8433
Other names 1
- Jenny T Gribbin
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160120000340 | NJ | Practitioner - Nurse Practitioner | 6204139660 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00402000 | NJ | MD | Acute Care Nurse Practitioner |
| F430665 | NY | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barnabas Health Medical Group PC | Past | Accepting new patients | |
| Barnabas Health Medical Group PC | Past | Accepting new patients |
Interoperability endpoints
- jguevarra515374@direct.ahsys.org
Organizations & group practices 2
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.
-
- Durable Medical Equipment & Medical Supplies
- Hackensack, NJ
- NPI 1316772668
-
- Specialist
- Elizabeth, NJ
- NPI 1841557246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745971200000",
"number": "1801130109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MADISON AVE",
"city": "MORRISTOWN",
"state": "NJ",
"postal_code": "079606136",
"telephone_number": "973-971-8433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94 OLD SHORT HILLS RD",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070395672",
"telephone_number": "973-322-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUEVARRA",
"first_name": "JENNY",
"middle_name": "T",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-27",
"last_updated": "2025-04-30",
"certification_date": "2025-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NJ",
"license": "26NJ00402000",
"primary": true
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NY",
"license": "F430665",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNY",
"last_name": "GRIBBIN",
"middle_name": "T",
"credential": "APN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Livingston, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.