Marly Jiby

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ00825700 Issued in NJ

Practice address

18 Court St
Flemington, NJ 08822-2139

Phone

(914) 573-1617

NPI assigned

Jun 7, 2018

Last updated

Jul 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

County of Somerset TreasurerGroup PAC ID 7315849296, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• County of Somerset Treasurer

  dba Richard Hall Community Health and Wellness Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bridgewater, NJ
  • NPI 1922034172
  Medicare reassignment Care Compare group NPD
• Stress Care of New Jersey, LLC

  • Community/Behavioral Health Agency
  • Matawan, NJ
  • NPI 1033433834
  Medicare reassignment NPD
• County of Somerset Treasurer

  dba Psychiatric Emergency Screening Services

  • Psychiatric Hospital Unit
  • Somerville, NJ
  • NPI 1407054406
  NPD
• Stress Care of New Jersey, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Somerset, NJ
  • NPI 1982345567
  NPD

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1922591783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 ROBIN WAY",
            "city": "NESHANIC STATION",
            "state": "NJ",
            "postal_code": "088533609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 COURT ST",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088222139",
            "telephone_number": "914-573-1617"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 N Bridge St",
            "address_purpose": "LOCATION",
            "city": "Bridgewater",
            "state": "NJ",
            "postal_code": "088072135",
            "country_code": "US",
            "telephone_number": "914-573-1617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIBY",
        "first_name": "MARLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-07",
        "last_updated": "2024-07-26",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00825700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Jackson, MS, LCADC
• Jeffrey Jaegel Jr., LCADC
• Robert T Jankay, LCSW
• Jessica Jensen, MA, LPC
• Jewish Family Service of Somserset, Hunterdon, Warren Counties
• JJW Anesthesia LLC
• JMD Family Practice, L.L.C
• Joel Fuhrman MD, PC
• Amy Chrisitine Johnson, APN
• Clay Johnson

• Psychiatric/Mental Health Nurse Practitioner in Flemington, NJ
• Providers in Flemington, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.