Individual provider Active NPI

Oksana Libelt, FNP

  • Family Nurse Practitioner
  • Matawan, NJ
National Provider Identifier
1922564566
Registry record updated Feb 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00899500 Issued in NJ
Practice address
46 Ravine Dr
Matawan, NJ 07747-2965
Phone
(917) 753-4575
NPI assigned
Feb 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2019

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 26NJ00899500 NJ Primary

Addresses

Primary practice location

46 Ravine Dr
Matawan, NJ 07747-2965

Mailing address

46 Ravine Dr
Matawan, NJ 07747-2965
Phone (917) 753-4575

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
I20190823000172 NJ Practitioner - Nurse Practitioner 8527396944 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Mind Your MindGroup PAC ID 6002242690, 22 clinicians

Practice addresses (Care Compare)

2083 Klockner Rd
Hamilton, NJ 08690-3415
Phone (609) 222-4922

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Your Mind CurrentSince Apr 20, 2022 Accepting new patients
Stress Care of New Jersey, LLC CurrentSince Jul 6, 2019 Accepting new patients
Stress Care of New Jersey, LLC CurrentSince Jul 6, 2019 Accepting new patients

Locations

4122 Route 516
Matawan, NJ 07747
Phone (732) 679-4500

2083 Klockner Rd
Trenton, NJ 08690
Phone (609) 222-4902

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": "1550534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1922564566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 RAVINE DR",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077472965",
            "telephone_number": "917-753-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 RAVINE DR",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077472965",
            "telephone_number": "917-753-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBELT",
        "first_name": "OKSANA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-19",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00899500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matawan, NJ

Sources for this page

Verify at the official NPI Registry.