Individual provider Active NPI

Laura B Nyabeta

  • Psychiatric/Mental Health Nurse Practitioner
  • South Plainfield, NJ
National Provider Identifier
1801655733
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ15026200 Issued in NJ
Practice address
1907 Park Ave
South Plainfield, NJ 07080-5530
Phone
(240) 449-6824
NPI assigned
Mar 14, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ15026200 NJ Primary

Addresses

Primary practice location

1907 Park Ave
South Plainfield, NJ 07080-5530

Mailing address

2622 Wildberry CT
Edison, NJ 08817-2757
Phone (240) 449-6824

Other practice location 1

55 Madison Ave Ste 400
Morristown, NJ 07960-7397
Phone (800) 465-3203

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
I20240821001323 NJ Practitioner - Nurse Practitioner 2466990486 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Charities, Diocese of MetuchenGroup PAC ID 8123011046, 14 clinicians

Practice addresses (Care Compare)

540 Route 22 E
Bridgewater, NJ 08807-2405
Phone (908) 722-1881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
NJ Behavioral Health Services PC Psychiatric/Mental Health CurrentSince May 5, 2025 Accepting new patients
Catholic Charities, Diocese of Metuchen Current Accepting new patients
Catholic Charities Diocese of Metuchen CurrentSince Aug 2, 2024 Accepting new patients
Catholic Charities, Diocese of Metuchen CurrentSince Aug 2, 2024 Accepting new patients
Catholic Charities, Diocese of Metuchen Past Accepting new patients
Catholic Charities, Diocese of Metuchen PastSince Oct 31, 2021 Accepting new patients

Locations

540 US Highway 22
Bridgewater, NJ 08807
Phone (908) 333-2297

6 Park Ave
Flemington, NJ 08822
Phone (908) 782-7905

140 E Ridgewood Ave
Ste 415
Paramus, NJ 07652
Phone (201) 720-1900

319 Maple St
Perth Amboy, NJ 08861
Phone (732) 324-8200

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": "1710374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1801655733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2622 WILDBERRY CT",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172757",
            "telephone_number": "240-449-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 PARK AVE",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805530",
            "telephone_number": "240-449-6824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Madison Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "NJ",
            "postal_code": "079607397",
            "country_code": "US",
            "telephone_number": "800-465-3203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NYABETA",
        "first_name": "LAURA",
        "middle_name": "B",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-14",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15026200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Plainfield, NJ

Sources for this page

Verify at the official NPI Registry.