Individual provider Active NPI

Anne Quinn, RN.APN,C

  • Gerontology Nurse Practitioner
  • Clifton, NJ
National Provider Identifier
1891798252
Registry record updated Dec 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
NN 77645 Issued in NJ
Practice address
6 Brighton Rd
2ND Floor
Clifton, NJ 07012-1647
Phone
(973) 772-3700
Fax
(973) 772-6103
NPI assigned
May 31, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X NN 77645 NJ Primary

Addresses

Primary practice location

6 Brighton Rd
2ND Floor
Clifton, NJ 07012-1647

Mailing address

76 Gordonhurst Ave
Montclair, NJ 07043-1716
Phone (973) 362-5419

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
I20060404000779 NJ Practitioner - Nurse Practitioner 9638187446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bergen Geriatric Care, LLCGroup PAC ID 6507016706, 7 clinicians

Practice addresses (Care Compare)

700 Kinderkamack Rd
Suite 202
Oradell, NJ 07649-1533
Phone (201) 387-2003

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Hackensack, NJ, CCN 317047
  • Adoration Home Health Home health agency, Clifton, NJ, CCN 317017
  • Valley Hospital Hospital, Paramus, NJ, CCN 310012
  • Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NN 77645NJMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bergen Geriatric Care, LLC CurrentSince Apr 4, 2022 Accepting new patients
Summit Medical Group, Inc Past Accepting new patients
Practice Associates,Inc Past Accepting new patients

Locations

700 Kinderkamack Rd
Ste 202
Oradell, NJ 07649
Phone (201) 387-2003

Interoperability endpoints

  • Direct secure messaging: anne.quinn@255168226787332.direct.elationemr.com

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386288000000",
    "number": "1891798252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 GORDONHURST AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431716",
            "telephone_number": "973-362-5419",
            "fax_number": "973-772-6103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BRIGHTON RD",
            "address_2": "2ND FLOOR",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121647",
            "telephone_number": "973-772-3700",
            "fax_number": "973-772-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINN",
        "first_name": "ANNE",
        "credential": "RN.APN,C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-31",
        "last_updated": "2013-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "NN 77645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.