Organization Active NPI

JF Healthcare LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Brick, NJ
National Provider Identifier
1902539406
Registry record updated Jul 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
JF HEALTHCARE LLC
Practice address
35 Appleton Dr
Brick, NJ 08723-7907
Phone
(860) 625-8413
NPI assigned
Jul 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2022

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

Authorized official

Name
Jan Ford, APNNPI 1912564428
Title
Nurse Practitioner Owner
Phone
(860) 625-8413

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

35 Appleton Dr
Brick, NJ 08723-7907

Mailing address

35 Appleton Dr
Brick, NJ 08723-7907
Phone (860) 625-8413

Other identifiers 2

IdentifierTypeStateIssuer
1912564428OtherNJCOMMERCIAL INSURANCE
1912564428MedicaidNJ

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL janford36@outlook.com Direct
CONNECT URL janford@outlook.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221222001669 NJ Part B Supplier - Clinic/Group Practice 4486020872 Receives reassigned benefits from 1 practitioner
Practice locations: Brick, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1656806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656806400000",
    "number": "1902539406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 APPLETON DR",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087237907",
            "telephone_number": "860-625-8413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 APPLETON DR",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087237907",
            "telephone_number": "860-625-8413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JF HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-03",
        "last_updated": "2022-07-03",
        "certification_date": "2022-07-03",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER OWNER",
        "authorized_official_telephone_number": "860-625-8413",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INSURANCE",
            "identifier": "1912564428",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912564428",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "janford36@outlook.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "35 Appleton Dr",
            "city": "Brick",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "087237907",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "janford@outlook.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "35 Appleton Dr",
            "city": "Brick",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "087237907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.