Rene Justin Punsal, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ01201200 Issued in NJ

Practice address

24-12 Fair Lawn Ave
Fair Lawn, NJ 07410-3401

Phone

(201) 797-7500

NPI assigned

Sep 10, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Group practices

Minuteclinic Diagnostic of New Jersey LLCGroup PAC ID 8527142439, 112 clinicians

Py Medical Services of NJ LLCGroup PAC ID 6901276922, 46 clinicians

Balanced Body Chiropractic Healthcare PCGroup PAC ID 9830587930, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989

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.

• Balanced Body Chiropractic Healthcare PC

  • Chiropractor
  • Paramus, NJ
  • NPI 1003455643
  Medicare reassignment Care Compare group NPD
• Minuteclinic Diagnostic of New Jersey LLC

  • Family Nurse Practitioner
  • Sewell, NJ
  • NPI 1053353615
  Medicare reassignment Care Compare group NPD
• Py Medical Services of NJ LLC

  • Multi-Specialty Clinic/Center
  • Newark, NJ
  • NPI 1942912381
  Medicare reassignment Care Compare group
• Minuteclinic Primary Care New Jersey LLC

  • Family Nurse Practitioner
  • Sewell, NJ
  • NPI 1174331524
  Medicare reassignment NPD

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1831868082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24-12 FAIR LAWN AVE",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103401",
            "telephone_number": "201-797-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24-12 FAIR LAWN AVE",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103401",
            "telephone_number": "201-797-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUNSAL",
        "first_name": "RENE",
        "middle_name": "JUSTIN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01201200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Ann Pro-Menner, MSW
• Veronica Pruchansky, DNP, FNP-BC, FNP-C
• Psychiatric Family Care LLC
• Jessica Pszonak
• Pulmonary Solutions LLC
• Purebody Wellness
• Andi Qipo, M.D.
• Judy U Quizon, P.T.
• Lisa Ra, MA, LAC
• Douglas S Rabin, MD

• Family Nurse Practitioner in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.