Individual provider Active NPI

Michelle Jessica Cypher, RN

  • Registered Nurse
  • Cliffwood, NJ
National Provider Identifier
1881339323
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
26NR14565600 Issued in NJ
Practice address
111 Rte 35
Cliffwood, NJ 07721-1512
Phone
(732) 727-2555
Fax
(732) 566-2101
NPI assigned
Apr 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26NR14565600 NJ Primary

Addresses

Primary practice location

111 Rte 35
Cliffwood, NJ 07721-1512

Mailing address

722 Beachview Ave
Keyport, NJ 07735-3210
Phone (848) 459-3210

Other names 1

  • Ms. Michelle Jessica Wilson Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Smart Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NR14565600NJMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Habit Opco, LLC PastSince May 1, 2022 Accepting new patients

Organizations & group practices 1

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": "1651190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1881339323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 BEACHVIEW AVE",
            "city": "KEYPORT",
            "state": "NJ",
            "postal_code": "077353210",
            "telephone_number": "848-459-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 RTE 35",
            "city": "CLIFFWOOD",
            "state": "NJ",
            "postal_code": "077211512",
            "telephone_number": "732-727-2555",
            "fax_number": "732-566-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CYPHER",
        "first_name": "MICHELLE",
        "middle_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-29",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR14565600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Smart",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "111 Rte 35",
            "city": "Cliffwood",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077211512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "WILSON",
            "middle_name": "JESSICA",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cliffwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.