Individual provider Active NPI

Amanda Harvey Lonergan, NP

  • Family Nurse Practitioner
  • Ocean, NJ
National Provider Identifier
1902352792
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00666200 Issued in NJ
Practice address
3200 Sunset Ave
Suite 208
Ocean, NJ 07712-4567
Phone
(732) 775-9000
NPI assigned
Aug 31, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00666200 NJ Primary

Addresses

Primary practice location

3200 Sunset Ave
Suite 208
Ocean, NJ 07712-4567

Mailing address

314 Graham Ave
Neptune, NJ 07753-8312
Phone (732) 361-8293

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
I20161025001567 NJ Practitioner - Nurse Practitioner 4688952724 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MSK MonmouthGroup PAC ID 1153619291, 300 clinicians

Practice addresses (Care Compare)

480 Red Hill Rd
Middletown, NJ 07748-3052
Phone (908) 542-3007

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Quality
80.94
Improvement activities
40
Cost
65.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00666200NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group, PC CurrentSince Dec 25, 2017 Accepting new patients
Memorial Sloan Kettering Cancer Center at Basking Ridge New Jersey CurrentSince Sep 1, 2020 Accepting new patients
The Radiology Group of New Jersey, LLC CurrentSince Nov 30, 2025 Accepting new patients
MSK Monmouth CurrentSince Sep 29, 2019 Accepting new patients

Locations

136 Mountainview Blvd
Basking Ridge, NJ 07920
Phone (908) 542-3000

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

480 Red Hill Rd
Middletown, NJ 07748
Phone (908) 542-3007

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

3200 Sunset Ave
Ste 208
Ocean, NJ 07712
Phone (732) 775-9000

3200 Sunset Ave
Ste 107
Ocean, NJ 07712
Phone (732) 349-4994

99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: alonergan25145@mskcc.direct-ci.com

Organizations & group practices 4

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": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1902352792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 GRAHAM AVE",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077538312",
            "telephone_number": "732-361-8293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 SUNSET AVE",
            "address_2": "SUITE 208",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077124567",
            "telephone_number": "732-775-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONERGAN",
        "first_name": "AMANDA",
        "middle_name": "HARVEY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00666200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean, NJ

Sources for this page

Verify at the official NPI Registry.