Individual provider Active NPI

Yerelyn Gutierrez, FNP-BC

  • Family Nurse Practitioner
  • Clark, NJ
National Provider Identifier
1932592870
Registry record updated Dec 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01222300 Issued in NJ
Practice address
241 Westfield Ave
Clark, NJ 07066-1547
Phone
(731) 381-7100
NPI assigned
Mar 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 696254-1 NY
Family Nurse Practitioner 363LF0000X 26NJ01222300 NJ Primary

Addresses

Primary practice location

241 Westfield Ave
Clark, NJ 07066-1547

Mailing address

241 Westfield Ave
Clark, NJ 07066-1547

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220125001835 NJ Practitioner - Nurse Practitioner 2264824242 Reassigns benefits to 1 organization
I20231117001313 NY Practitioner - Nurse Practitioner 2264824242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Tree Healthcare PAGroup PAC ID 0941695860, 8 clinicians

Practice addresses (Care Compare)

115 Belmont Ave
Belleville, NJ 07109-1993
Phone (973) 310-7000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
696254-1NYMDRegistered Nurse
26NJ01222300NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urban Family Practice PC Family CurrentSince Mar 17, 2024 Accepting new patients
Metrodoc Healthcare LLC CurrentSince May 21, 2023 Accepting new patients
Oak Tree Healthcare PA CurrentSince Aug 23, 2022 Accepting new patients
Perfect Health PC PastSince Jun 9, 2024 Accepting new patients

Locations

2300 N St NW
Ste 200
Washington, DC 20037
Phone (844) 401-4663

115 Belmont Ave
Belleville, NJ 07109
Phone (973) 310-7000

365 Convery Blvd
Ste 14
Perth Amboy, NJ 08861
Phone (973) 310-7000

564 Niagara St
Bldg 2
Buffalo, NY 14201
Phone (716) 324-5026

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.

NPI Registry JSON

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638576000000",
    "number": "1932592870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 WESTFIELD AVE",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 WESTFIELD AVE",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661547",
            "telephone_number": "731-381-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "YERELYN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-17",
        "last_updated": "2021-12-04",
        "certification_date": "2021-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "696254-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01222300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clark, NJ

Sources for this page

Verify at the official NPI Registry.