Individual provider Active NPI

Theresa B Brady, CRNP

  • Family Nurse Practitioner
  • Woodbury, NJ
National Provider Identifier
1871515684
Registry record updated Jun 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
TP004037B Issued in PA
Practice address
127 N Broad St
Woodbury, NJ 08096-1718
Phone
(856) 845-0500
Fax
(856) 384-8757
NPI assigned
Jul 24, 2006
Last updated
Jun 16, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2017

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 TP004037B PA Primary
Registered Nurse 163W00000X RN315201L PA

Addresses

Primary practice location

127 N Broad St
Woodbury, NJ 08096-1718

Mailing address

127 N Broad St
Woodbury, NJ 08096-1718
Phone (856) 845-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE, NY, NJ4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20050518000138 PA Practitioner - Nurse Practitioner 7517908767 Reassigns benefits to 3 organizations
I20091120000604 DE Practitioner - Nurse Practitioner 7517908767
I20190819001871 NY Practitioner - Nurse Practitioner 7517908767 Reassigns benefits to 2 organizations
I20200121001480 NJ Practitioner - Nurse Practitioner 7517908767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healing Partners Plus PLLCGroup PAC ID 4284155425, 125 clinicians
Consonant Healing Medical AssociatesGroup PAC ID 1254662695, 103 clinicians

Practice addresses (Care Compare)

150 Monument Rd
Suite 207
Bala Cynwyd, PA 19004-1725
Phone (888) 402-0202

905 Tower Rd
Suite 3188
Bristol, PA 19007-3116
Phone (443) 383-9300

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

State licenses

LicenseStateTypeSpecialty
RN315201LPAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Partners Plus PLLC CurrentSince Sep 1, 2025 Accepting new patients
Consonant Healing Medical Associates of NJ LLC CurrentSince Jan 1, 2023 Accepting new patients
Consonant Healing Medical Associates CurrentSince Jan 1, 2023 Accepting new patients
Senf NP Family Medicine PLLC CurrentSince May 9, 2023 Accepting new patients
Mobile Wound Consultants II Inc. Past Accepting new patients
Surgical & Critical Care Associates Family Past Accepting new patients

Locations

919 Seton Dr
Cumberland, MD 21502
Phone (301) 777-0622

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

2381 Lawrenceville Rd
Lawrenceville, NJ 08648
Phone (609) 896-8152

100 Challenger Rd
Ste 205
Ridgefield Park, NJ 07660

100 Challenger Rd
#205
Ridgefield Pk, NJ 07660

67 Springvale Rd
Croton on Hudson, NY 10520
Phone (914) 739-6700

11126 Corona Ave
Flushing, NY 11368
Phone (718) 592-6400

1 Whittier Way
Ghent, NY 12075
Phone (518) 828-0800

10421 State Route 40
Ste 300
Granville, NY 12832

301 Mill Rd
Ste U5
Hewlett, NY 11557

9131 175th St
Jamaica, NY 11432
Phone (340) 709-3133

150 Monument Rd
Ste 207
Bala Cynwyd, PA 19004
Phone (800) 203-8657

905 Tower Rd
#3188
Bristol, PA 19007
Phone (215) 785-3201

905 Tower Rd
Ste 3188
Bristol, PA 19007
Phone (443) 483-9300

318 S Orange St
Media, PA 19063
Phone (610) 566-1400

2630 Woodland Rd
Roslyn, PA 19001
Phone (215) 313-9358

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 9

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497571200000",
    "number": "1871515684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 N BROAD ST",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080961718",
            "telephone_number": "856-845-0500",
            "fax_number": "856-384-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 N BROAD ST",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080961718",
            "telephone_number": "856-845-0500",
            "fax_number": "856-384-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "THERESA",
        "middle_name": "B",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2017-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "TP004037B",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN315201L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NJ

Sources for this page

Verify at the official NPI Registry.