Individual provider Active NPI

Lina Perumpail, APN

  • Nurse Practitioner
  • Lakewood, NJ
National Provider Identifier
1932593670
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NR11424800 Issued in NJ
Practice address
600 River Ave
Lakewood, NJ 08701-5237
Phone
(732) 363-1900
NPI assigned
Mar 19, 2015
Last updated
Feb 20, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NR11424800 NJ Primary

Addresses

Primary practice location

600 River Ave
Lakewood, NJ 08701-5237

Mailing address

6 Silver Leaf Dr
Marlboro, NJ 07746-1896
Phone (646) 924-8115

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
I20150710000807 NJ Practitioner - Nurse Practitioner 9335451913 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caring Neurology LLCGroup PAC ID 6002162898, 10 clinicians

Practice addresses (Care Compare)

901 W Main St
Suite 267
Freehold, NJ 07728-2537
Phone (732) 786-3191

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26NR11424800NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Caring Neurology LLC CurrentSince Jun 1, 2018 Accepting new patients
Hospital Medicine of Monmouth County Past Accepting new patients
Charles L. Spellman, DO Past Accepting new patients

Locations

901 W Main St
Ste 267
Freehold, NJ 07728
Phone (732) 333-8702

600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900

66 W Gilbert St
Fl 2
Tinton Falls, NJ 07701
Phone (732) 212-0051

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJFEBD
  • Direct secure messaging: lperumpail425384@direct.ahsys.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1932593670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SILVER LEAF DR",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461896",
            "telephone_number": "646-924-8115",
            "fax_number": "203-531-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 RIVER AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015237",
            "telephone_number": "732-363-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERUMPAIL",
        "first_name": "LINA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-19",
        "last_updated": "2017-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NR11424800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

Verify at the official NPI Registry.