Individual provider Active NPI

Margaret Grady, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Oakland, NJ
National Provider Identifier
1902033095
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00203000 Issued in NJ
Practice address
9 Post Rd Ste M2
Oakland, NJ 07436-1619
Phone
(201) 904-2230
Fax
(201) 904-2232
NPI assigned
Jun 16, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00203000 NJ Primary

Addresses

Primary practice location

9 Post Rd Ste M2
Oakland, NJ 07436-1619

Mailing address

9 Post Rd Ste M2
Oakland, NJ 07436-1619
Phone (201) 904-2230

Other practice location 1

851 Franklin Lake Rd Ste 105
Franklin Lakes, NJ 07417-2267
Phone (201) 904-2230

Other practice location 2

67 Long Hill Rd
Oakland, NJ 07436-2502
Phone (201) 904-2230

Other identifiers 1

IdentifierTypeStateIssuer
0423335MedicaidNJ

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
I20141111002138 NJ Practitioner - Nurse Practitioner 5698997492 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Coira Institute, PA 2 clinicians

Practice addresses (Care Compare)

67 Long Hill Rd
Oakland, NJ 07436-2502
Phone (201) 904-2230

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00203000NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Sep 7, 2014 Accepting new patients
Coira Institute PA CurrentSince Apr 14, 2018 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Sep 7, 2014 Accepting new patients

Locations

851 Franklin Lake Rd
Ste 105
Franklin Lakes, NJ 07417
Phone (201) 904-2230

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

9 Post Rd
Ste M2
Oakland, NJ 07436
Phone (201) 651-0051

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

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.

NPI Registry JSON

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1902033095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 POST RD STE M2",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074361619",
            "telephone_number": "201-904-2230",
            "fax_number": "201-904-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 POST RD STE M2",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074361619",
            "telephone_number": "201-904-2230",
            "fax_number": "201-904-2232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "851 Franklin Lake Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Franklin Lakes",
            "state": "NJ",
            "postal_code": "074172267",
            "country_code": "US",
            "telephone_number": "201-904-2230",
            "fax_number": "201-904-2232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "67 Long Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "NJ",
            "postal_code": "074362502",
            "country_code": "US",
            "telephone_number": "201-904-2230",
            "fax_number": "201-904-2232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRADY",
        "first_name": "MARGARET",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-16",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00203000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0423335",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, NJ

Sources for this page

Verify at the official NPI Registry.