Individual provider Active NPI

Rebecca Wende

  • Family Nurse Practitioner
  • East Orange, NJ
National Provider Identifier
1912882937
Registry record updated Dec 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ15381200 Issued in NJ
Practice address
613 Park Ave
East Orange, NJ 07017-1905
Phone
(973) 672-8573
NPI assigned
Aug 8, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 836819-01 NY
Family Nurse Practitioner 363LF0000X 26NJ15381200 NJ Primary
Registered Nurse 163W00000X 26NR22417000 NJ

Addresses

Primary practice location

613 Park Ave
East Orange, NJ 07017-1905

Mailing address

613 Park Ave
East Orange, NJ 07017-1905
Phone (973) 672-8573

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
I20251027004028 NJ Practitioner - Nurse Practitioner 6406345842 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Salerno Medical Associates, LLCGroup PAC ID 3678676434, 38 clinicians

Practice addresses (Care Compare)

613 Park Ave
FL 2
East Orange, NJ 07017-1905
Phone (973) 672-8573

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NR22417000NJMDRegistered Nurse
836819-01NYMDRegistered Nurse
26NJ15381200NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Salerno Medical Associates, LLC CurrentSince Aug 15, 2025 Accepting new patients
Metropolitan Medical Group LLC CurrentSince Aug 15, 2025 Accepting new patients

Locations

613 Park Ave
East Orange, NJ 07017
Phone (973) 672-2455

613 Park Ave
Fl 2
East Orange, NJ 07017
Phone (973) 485-6433

292 Lafayette St
Newark, NJ 07105
Phone (866) 525-9018

Organizations & group practices 2

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": "1754611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766188800000",
    "number": "1912882937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 PARK AVE",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070171905",
            "telephone_number": "973-672-8573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 PARK AVE",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070171905",
            "telephone_number": "973-672-8573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDE",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-08-08",
        "last_updated": "2025-12-20",
        "certification_date": "2025-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "836819-01",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15381200",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR22417000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

Verify at the official NPI Registry.