Individual provider Active NPI

Iris Violet Peppers, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Bloomfield, NJ
National Provider Identifier
1811655798
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01230800 Issued in NJ
Practice address
322 Glenwood Ave
Bloomfield, NJ 07003
Phone
(845) 356-2273
NPI assigned
Dec 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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 26NJ01230800 NJ Primary

Addresses

Primary practice location

322 Glenwood Ave
Bloomfield, NJ 07003

Mailing address

197 Highland Ave
Newark, NJ 07104-1209
Phone (973) 392-0462

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
I20220906000458 NJ Practitioner - Nurse Practitioner 8820472178 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Tree Healthcare PAGroup PAC ID 0941695860, 8 clinicians
SKR Medical AdvisorsGroup PAC ID 7315185816, 18 clinicians

Practice addresses (Care Compare)

115 Belmont Ave
Belleville, NJ 07109-1993
Phone (973) 310-7000

560 New York Ave
Lyndhurst, NJ 07071-1532
Phone (201) 345-3839

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ01230800NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Tree Healthcare PA CurrentSince Aug 24, 2022 Accepting new patients
Metrodoc Healthcare LLC CurrentSince May 21, 2023 Accepting new patients
SKR Medical Advisors CurrentSince Aug 1, 2024 Accepting new patients
Citywide Urgent Care NJ LLC CurrentSince May 26, 2022 Accepting new patients
Ip Wellness LLC Current Accepting new patients
The Radiology Group of New Jersey, LLC PastSince Aug 1, 2024 Accepting new patients

Locations

115 Belmont Ave
Belleville, NJ 07109
Phone (973) 310-7000

322 Glenwood Ave
5
Bloomfield, NJ 07003
Phone (332) 225-9814

322 Glenwood Ave
5
Bloomfield, NJ 07003
Phone (332) 225-9814

322 Glenwood Ave
Bloomfield, NJ 07003
Phone (845) 356-2273

560 New York Ave
Lyndhurst, NJ 07071
Phone (201) 345-3839

2100 88th St
Bldg G
North Bergen, NJ 07047
Phone (201) 345-3839

2100 88th St
Bldg G1A
North Bergen, NJ 07047
Phone (201) 773-1360

365 Convery Blvd
Ste 14
Perth Amboy, NJ 08861
Phone (973) 310-7000

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": "1638835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1811655798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 HIGHLAND AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071041209",
            "telephone_number": "973-392-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 GLENWOOD AVE",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "07003",
            "telephone_number": "845-356-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPPERS",
        "first_name": "IRIS",
        "middle_name": "VIOLET",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-07",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01230800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, NJ

Sources for this page

Verify at the official NPI Registry.