Individual provider Active NPI

Paula Straub, APN

  • Nurse Practitioner
  • Margate City, NJ
National Provider Identifier
1841254729
Registry record updated Jun 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NN08585500 Issued in NJ
Practice address
9501 Ventnor Ave
Margate City, NJ 08402-2218
Phone
(609) 823-6161
Fax
(609) 823-3413
NPI assigned
Apr 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NN08585500 NJ Primary

Addresses

Primary practice location

9501 Ventnor Ave
Margate City, NJ 08402-2218

Mailing address

9501 Ventnor Ave
Margate City, NJ 08402-2218
Phone (609) 823-6161

Other identifiers 1

IdentifierTypeStateIssuer
7294506MedicaidNJ

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
I20041105000895 NJ Practitioner - Nurse Practitioner 6204899750 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shore Memorial Physicians Group PC CurrentSince Nov 2, 2019 Accepting new patients
Infections Limited East, PC Past Accepting new patients

Locations

9501 Ventnor Ave
Margate City, NJ 08402
Phone (609) 822-4800

2605 Shore Rd
Northfield, NJ 08225
Phone (609) 365-5300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4024/brand/1/csg/22/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/23288/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402963200000",
    "number": "1841254729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 VENTNOR AVE",
            "city": "MARGATE CITY",
            "state": "NJ",
            "postal_code": "084022218",
            "telephone_number": "609-823-6161",
            "fax_number": "609-823-3413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 VENTNOR AVE",
            "city": "MARGATE CITY",
            "state": "NJ",
            "postal_code": "084022218",
            "telephone_number": "609-823-6161",
            "fax_number": "609-823-3413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAUB",
        "first_name": "PAULA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2014-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NN08585500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7294506",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Margate City, NJ

Sources for this page

Verify at the official NPI Registry.