Individual provider Active NPI

Jennifer Faulkner-Duphiney, APN

  • Family Nurse Practitioner
  • Denville, NJ
National Provider Identifier
1972284511
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ14886100 Issued in NJ
Practice address
16 Pocono Rd Ste 110
Denville, NJ 07834-2905
Phone
(973) 586-3700
Fax
(973) 586-8666
NPI assigned
Jul 27, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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 26NJ14886100 NJ Primary

Addresses

Primary practice location

16 Pocono Rd Ste 110
Denville, NJ 07834-2905

Mailing address

PO Box 416457, LB# 7550
Philadelphia, PA 19195-7550
Phone (844) 362-1735

Other practice location 1

75 Claremont Rd Ste 205
Bernardsville, NJ 07924-2270
Phone (973) 586-3700

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
I20231107000019 NJ Practitioner - Nurse Practitioner 5193172567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Primary Care Partners LLCGroup PAC ID 2860665809, 74 clinicians

Practice addresses (Care Compare)

16 Old Brookside Rd
Randolph, NJ 07869-3617
Phone (973) 895-4000

Hospital & facility affiliations

  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Partners, LLC CurrentSince Oct 2, 2023 Accepting new patients
Primary Care Partners, LLC CurrentSince Oct 2, 2023 Accepting new patients
Primary Care Partners, LLC Current Accepting new patients
Primary Care Partners LLC Past Accepting new patients

Locations

75 Claremont Rd
Ste 205
Bernardsville, NJ 07924
Phone (908) 766-9920

16 Pocono Rd
Ste 110
Denville, NJ 07834
Phone (973) 292-6800

475 South St
Morristown, NJ 07960
Phone (973) 660-3166

465 South St
Ste 103
Morristown, NJ 07960
Phone (973) 971-7130

16 Old Brookside Rd
Randolph, NJ 07869
Phone (973) 895-4000

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.

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": "1690416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1972284511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416457, LB# 7550",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191957550",
            "telephone_number": "844-362-1735",
            "fax_number": "973-290-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 POCONO RD STE 110",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342905",
            "telephone_number": "973-586-3700",
            "fax_number": "973-586-8666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Claremont Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Bernardsville",
            "state": "NJ",
            "postal_code": "079242270",
            "country_code": "US",
            "telephone_number": "973-586-3700",
            "fax_number": "973-586-8666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAULKNER-DUPHINEY",
        "first_name": "JENNIFER",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ14886100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denville, NJ

Sources for this page

Verify at the official NPI Registry.