Individual provider Active NPI

Anny Eusebio, FNP, DNP

  • Family Nurse Practitioner
  • Bayonne, NJ
National Provider Identifier
1841323391
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00440400 Issued in NJ
Practice address
29E 29TH St
Bayonne, NJ 07002-4654
Phone
(201) 858-7100
Fax
(201) 858-7322
NPI assigned
Mar 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00440400 NJ Primary
Family Nurse Practitioner 363LF0000X F333660 NY

Addresses

Primary practice location

29E 29TH St
Bayonne, NJ 07002-4654

Mailing address

1326 Laurel Ter
Teaneck, NJ 07666-5008
Phone (646) 879-6406

Other practice location 1

493 Essex St
Hackensack, NJ 07601-1215
Phone (201) 996-9244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160119002318 NJ Practitioner - Nurse Practitioner 6800106584 Reassigns benefits to 3 organizations
I20170220001595 NY Practitioner - Nurse Practitioner 6800106584 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00440400NJMDFamily Nurse Practitioner
F333660NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Physicians of New Jersey, LLC CurrentSince Dec 1, 2020 Accepting new patients
Mulkay Cardiology Consultants at Holy Name Medical Center, PC CurrentSince Sep 1, 2021 Accepting new patients
Brookview Medical Associates, PLLC CurrentSince Oct 18, 2023 Accepting new patients
Signify Health Medical Associates of New Jersey, LLC CurrentSince May 11, 2024 Accepting new patients
Excelcare Medical Associates, PA Past Accepting new patients

Locations

319 US Highway 130
East Windsor, NJ 08520
Phone (609) 426-4300

44 Sylvan Ave
Ste 2A1
Englewd Clfs, NJ 07632

493 Essex St
#2
Hackensack, NJ 07601
Phone (201) 621-0911

493 Essex St
Hackensack, NJ 07601
Phone (201) 996-9244

3 University Plz
Ste 205
Hackensack, NJ 07601

1376 State Route 36
Hazlet, NJ 07730
Phone (732) 264-5500

1 Sears Dr
Ste 301
Paramus, NJ 07652
Phone (201) 265-0001

116 Village Blvd
Ste 200
Princeton, NJ 08540
Phone (609) 285-3094

46 Newman Springs Rd E
Ste F
Red Bank, NJ 07701
Phone (732) 933-4100

1 Route 37 W
Toms River, NJ 08753
Phone (732) 281-3201

529 39th St
Union City, NJ 07087
Phone (201) 601-0900

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: anny.eusebio@mulkaycardiologyconsultants.chartmakerdirect.com
  • Direct secure messaging: anny.eusebio@mulkaycardiologyhnh.chartmakerdirect.com

Organizations & group practices 5

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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1841323391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 LAUREL TER",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076665008",
            "telephone_number": "646-879-6406",
            "fax_number": "732-384-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29E 29TH ST",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070024654",
            "telephone_number": "201-858-7100",
            "fax_number": "201-858-7322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "493 Essex St",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076011215",
            "country_code": "US",
            "telephone_number": "201-996-9244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EUSEBIO",
        "first_name": "ANNY",
        "credential": "FNP, DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00440400",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F333660",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

Verify at the official NPI Registry.