Individual provider Active NPI

Jennifer Shulskie, APN

  • Gerontology Nurse Practitioner
  • Sea Girt, NJ
National Provider Identifier
1861049991
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26NJ00945300 Issued in NJ
Practice address
700 Highway 71
Sea Girt, NJ 08750-2805
Phone
(732) 974-8100
NPI assigned
Aug 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 26NJ00945300 NJ Primary

Addresses

Primary practice location

700 Highway 71
Sea Girt, NJ 08750-2805

Mailing address

22 Green Meadow Dr
Tinton Falls, NJ 07724-2768
Phone (732) 685-3998

Other practice location 1

1725 Meridian Trl
Wall Township, NJ 07719-3869
Phone (732) 312-1800

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
I20191003002283 NJ Practitioner - Nurse Practitioner 7719218833 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Girt Physical Medicine and Rehabilitation Associates, LLC Physical Medicine & Rehabilitation CurrentSince Aug 26, 2019 Accepting new patients
Toms River Ambulatory Anesthesia LLC CurrentSince Dec 28, 2024 Accepting new patients
Toms River Ambulatory Anesthesia LLC CurrentSince Dec 28, 2024 Accepting new patients

Locations

240 Parker Ave
Manasquan, NJ 08736
Phone (732) 612-8412

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

1430 Hooper Ave
Toms River, NJ 08753
Phone (732) 240-2277

1725 Meridian Trl
Wall Township, NJ 07719
Phone (732) 312-1692

1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333

Organizations & group practices 3

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": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1861049991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 GREEN MEADOW DR",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077242768",
            "telephone_number": "732-685-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 HIGHWAY 71",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "087502805",
            "telephone_number": "732-974-8100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1725 Meridian Trl",
            "address_purpose": "LOCATION",
            "city": "Wall Township",
            "state": "NJ",
            "postal_code": "077193869",
            "country_code": "US",
            "telephone_number": "732-312-1800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHULSKIE",
        "first_name": "JENNIFER",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-22",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ00945300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sea Girt, NJ

Sources for this page

Verify at the official NPI Registry.