Individual provider Active NPI

Madeleine Rebecca Eugene, DNP, APN, AGNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Manalapan, NJ
National Provider Identifier
1861971756
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00838500 Issued in NJ
Practice address
500 Park Ave
Manalapan, NJ 07726-8375
Phone
(732) 679-4500
NPI assigned
Aug 10, 2018
Last updated
May 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00838500 NJ
Adult Health Nurse Practitioner 363LA2200X 0024180559 VA
Gerontology Nurse Practitioner 363LG0600X 26NJ00838500 NJ
Gerontology Nurse Practitioner 363LG0600X 0024180559 VA
Primary Care Nurse Practitioner 363LP2300X 26NJ00838500 NJ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00838500 NJ Primary

Addresses

Primary practice location

500 Park Ave
Manalapan, NJ 07726-8375

Mailing address

PO Box 149
Cliffwood, NJ 07721-0149
Phone (917) 526-1846

Other practice location 1

1229 Garrisonville Rd Ste 104
Stafford, VA 22556-3655
Phone (540) 479-0466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, VA, NY, PA, GA5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20181030002996 NJ Practitioner - Nurse Practitioner 8628321197 Reassigns benefits to 3 organizations
I20210527000960 VA Practitioner - Nurse Practitioner 8628321197 Reassigns benefits to 2 organizations
I20250116003049 NY Practitioner - Nurse Practitioner 8628321197 Reassigns benefits to 1 organization
I20251124000540 PA Practitioner - Nurse Practitioner 8628321197 Reassigns benefits to 1 organization
I20260319003730 GA Practitioner - Nurse Practitioner 8628321197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Grace Health Services LLCGroup PAC ID 6103157094, 3 clinicians

Practice addresses (Care Compare)

1229 Garrisonville Rd
Suite 104
Stafford, VA 22556-3655

188 Onville Rd
Stafford, VA 22556-3805
Phone 88888768673

220 5TH Ave
FL 11
New York, NY 10001-8017
Phone (848) 207-2466

241 Arbor Dr
Rockmart, GA 30153-8237
Phone (848) 207-2466

4 Magner Ave
Barnegat, NJ 08005-1322
Phone (848) 207-2466

5901 N 21St St
Philadelphia, PA 19138-2921
Phone (848) 207-2466

8401 Maryland Dr
Richmond, VA 23294-4648
Phone (848) 207-2466

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
003681GAMDPhysical Therapy Assistant
26NJ00838500NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stress Care of New Jersey, LLC CurrentSince Oct 29, 2019 Accepting new patients
Supportive Care Psychology of NJ PC CurrentSince May 15, 2021 Accepting new patients
True Care Mental Health Clinic LLC CurrentSince Feb 9, 2023 Accepting new patients
Relax Your Mind Services, LLC CurrentSince Jul 23, 2022 Accepting new patients
Stress Care of New Jersey, LLC CurrentSince Oct 29, 2019 Accepting new patients

Locations

570 N Broad St
Ste 3
Elizabeth, NJ 07208
Phone (888) 500-9661

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

697 Mill Creek Rd
Ste 9
Manahawkin, NJ 08050
Phone (848) 207-2466

500 Park Ave
Manalapan, NJ 07726
Phone (732) 679-4500

4122 Route 516
Matawan, NJ 07747
Phone (732) 679-4500

560 Berkeley Ave
Orange, NJ 07050
Phone (973) 672-6500

9 W Broadway
Paterson, NJ 07505
Phone (973) 345-1883

123 W 7th St
Plainfield, NJ 07060
Phone (908) 754-2211

220 5th Ave
Fl 11
New York, NY 10001
Phone (212) 564-0480

5901 N 21st St
Philadelphia, PA 19138
Phone (848) 207-2466

8401 Mayland Dr
Ste S
Richmond, VA 23294
Phone (774) 473-8890

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1533859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1861971756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 149",
            "city": "CLIFFWOOD",
            "state": "NJ",
            "postal_code": "077210149",
            "telephone_number": "917-526-1846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PARK AVE",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268375",
            "telephone_number": "732-679-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1229 Garrisonville Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "VA",
            "postal_code": "225563655",
            "country_code": "US",
            "telephone_number": "540-479-0466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EUGENE",
        "first_name": "MADELEINE",
        "middle_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "DNP, APN, AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-10",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00838500",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024180559",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ00838500",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0024180559",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ00838500",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00838500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

Verify at the official NPI Registry.