Individual provider Active NPI

Irina Eremina, APN

  • Family Nurse Practitioner
  • Holmdel, NJ
National Provider Identifier
1861097594
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01113800 Issued in NJ
Practice address
723 N Beers St Ste 2C
Holmdel, NJ 07733-1512
Phone
(732) 775-5500
NPI assigned
Dec 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26NR17059200 NJ
Family Nurse Practitioner 363LF0000X 26NJ01113800 NJ Primary

Addresses

Primary practice location

723 N Beers St Ste 2C
Holmdel, NJ 07733-1512

Mailing address

9 Cannonade Dr
Marlboro, NJ 07746-1937
Phone (609) 513-3115

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address irina.eremina@hackensackmeridian.org

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
I20210528000891 NJ Practitioner - Nurse Practitioner 6709285448 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NR17059200NJMDRegistered Nurse
26NJ01113800NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Magdy Nasra MD PC CurrentSince Feb 17, 2021 Accepting new patients
New Jersey Post Acute Medical Services 1 PA PastSince Feb 17, 2021 Accepting new patients

Locations

723 N Beers St
Ste 2C
Holmdel, NJ 07733
Phone (732) 888-8255

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": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1861097594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CANNONADE DR",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461937",
            "telephone_number": "609-513-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 N BEERS ST STE 2C",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331512",
            "telephone_number": "732-775-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EREMINA",
        "first_name": "IRINA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-01",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR17059200",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01113800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "irina.eremina@hackensackmeridian.org",
            "affiliation": "N",
            "address_1": "1945 NJ-33",
            "city": "Neptune City",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "07753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Holmdel, NJ

Sources for this page

Verify at the official NPI Registry.