Active NPI
Karen K Iannuzzi, MSN, RN, CPNP
- Pediatric Nurse Practitioner
- New Brunswick, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 26NJ00488500
- Practice address
- 200 Somerset St
New Brunswick, NJ 08901-1942 - Phone
- (888) 244-5373
- NPI assigned
- Mar 19, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 382788 | NY | |
| Pediatric Nurse Practitioner | 363LP0200X | 26NJ00488500 | NJ | Primary |
Addresses
Primary practice location
200 Somerset St
New Brunswick, NJ 08901-1942
Mailing address
200 Somerset St
New Brunswick, NJ 08901-1942
Phone (888) 244-5373
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0486124 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00488500 | NJ | MD | Pediatric Nurse Practitioner |
| 382788 | NY | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barnabas Health Medical Group PC | Current | Accepting new patients | |
| Children' Specialized Hospital | Current | Accepting new patients | |
| Children'S Specialized Hospital | Current | Accepting new patients | |
| Barnabas Health Medical Group PC | Current | Accepting new patients | |
| PM Pediatrics PC | Past | Accepting new patients | |
| PM Pediatrics of Bayside PLLC | Past | Accepting new patients | |
| PM Pediatrics of Mamaroneck | Past | Accepting new patients |
Locations
475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
150 New Providence Rd
Mountainside, NJ 07092
200 Somerset St
New Brunswick, NJ 08901
Phone (732) 258-7000
375 Mount Pleasant Ave
West Orange, NJ 07052
Phone (973) 322-6900
Organizations & group practices 7
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.
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- Durable Medical Equipment & Medical Supplies
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- Specialist
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- NPI 1841557246
-
- Medically Fragile Infants and Children Day Care
- Mountainside, NJ
- NPI 1578604476
-
- Children's Rehabilitation Hospital
- New Brunswick, NJ
- NPI 1396886297
-
- Urgent Care Clinic/Center
- Nanuet, NY
- NPI 1861823197
-
- Urgent Care Clinic/Center
- Mamaroneck, NY
- NPI 1073645180
-
- Urgent Care Clinic/Center
- Syosset, NY
- NPI 1730212390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648080000000",
"number": "1831516574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 SOMERSET ST",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089011942",
"telephone_number": "888-244-5373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 SOMERSET ST",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089011942",
"telephone_number": "888-244-5373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IANNUZZI",
"first_name": "KAREN",
"middle_name": "K",
"name_prefix": "Mrs.",
"credential": "MSN, RN, CPNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-19",
"last_updated": "2022-03-24",
"certification_date": "2022-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NY",
"license": "382788",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NJ",
"license": "26NJ00488500",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0486124",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.