Judy Nissi Shvarzblat, APN

Primary specialty

Women's Health Clinical Nurse SpecialistTaxonomy code 364SW0102X

License

26NJ00518800 Issued in NJ

Practice address

312 Professional View Dr
Building 300 Seccond Floor
Freehold, NJ 07728-7904

Phone

(732) 431-1616

NPI assigned

Sep 22, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Lifeline Medical Associates, LLC

  • Obstetrics & Gynecology Physician
  • Florham Park, NJ
  • NPI 1821041617
  Medicare reassignment

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411344000000",
    "number": "1891197893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 PROFESSIONAL VIEW DR",
            "address_2": "BUILDING 300 SECCOND FLOOR",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077287904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 PROFESSIONAL VIEW DR",
            "address_2": "BUILDING 300 SECCOND FLOOR",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077287904",
            "telephone_number": "732-431-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHVARZBLAT",
        "first_name": "JUDY",
        "middle_name": "NISSI",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-22",
        "last_updated": "2014-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SW0102X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Women's Health",
            "state": "NJ",
            "license": "26NJ00518800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mita Sheth, PT
• Glenn Shevins, RPH
• Shikha Majumdar,MD LLC
• Anatoly Shnayder, M.D.
• Ashish Shukla, M.D., M.P.H, F.A.C.C
• Christopher Siciliano, R. N.
• Stella Siciliano, LCSW
• Atif Inam Siddiqi, RPA-C
• Sigmund L. Sattenspiel, M.D., P.a.
• Jeffrey Mark Silberberg, M.D.

• Women's Health Clinical Nurse Specialist in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Women's Health Clinical Nurse Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.