Individual provider Active NPI

Dragana Obradovic

  • Adult Health Nurse Practitioner
  • Englewood, NJ
National Provider Identifier
1992192876
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
A0415006 Issued in NJ
Practice address
140 Grand Ave
Englewood, NJ 07631-6581
Phone
(201) 569-9010
NPI assigned
Apr 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X A0415006 NJ Primary

Addresses

Primary practice location

140 Grand Ave
Englewood, NJ 07631-6581

Mailing address

4 Gigante PL
Cliffside Park, NJ 07010-1205
Phone (201) 945-7537

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
I20151007002854 NJ Practitioner - Nurse Practitioner 2163730318 Reassigns benefits to 4 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
Barnabas Health Medical Group PCGroup PAC ID 9537316955, 1,027 clinicians

Practice addresses (Care Compare)

355 Grand St
Jersey City, NJ 07302-4321
Phone (201) 915-2000

4 Gigante PL
Cliffside Park, NJ 07010-1205
Phone (201) 394-2397

Hospital & facility affiliations

  • Jersey City Medical Center Hospital, Jersey City, NJ, CCN 310074

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A0415006NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Garden State Healthcare Associates, LLC CurrentSince Jun 23, 2015 Accepting new patients
Quality of Life Care, LLC Adult Health CurrentSince Mar 12, 2020 Accepting new patients
Barnabas Health Medical Group PC CurrentSince May 12, 2025 Accepting new patients
New Jersey Medical and Health Associates,LLC CurrentSince Feb 10, 2018 Accepting new patients
Barnabas Health Medical Group PC CurrentSince May 12, 2025 Accepting new patients

Locations

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

150 Warren St
Jersey City, NJ 07302
Phone (201) 309-3000

355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224

176 Palisade Ave
Jersey City, NJ 07306
Phone (201) 795-8200

196 Jewett Ave
Jersey City, NJ 07304
Phone (201) 332-3354

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

Organizations & group practices 5

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 2

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": "1429315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1992192876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 GIGANTE PL",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070101205",
            "telephone_number": "201-945-7537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 GRAND AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076316581",
            "telephone_number": "201-569-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBRADOVIC",
        "first_name": "DRAGANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-18",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "A0415006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

Verify at the official NPI Registry.