Unknown Individual – Family Nurse Practitioner, NPI 1316128564
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
147, Walthery Avenue, Ridgewood, Bergen County, New Jersey, 07450, United States
RIDGEWOOD, NJ 074503507
Phone: (201) 612-9399
Fax: (201) 612-2065
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $17.
Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.
Last reported payment date: 2024-08-20 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($17).
Total Amount
$17
General + Research + Ownership
Payments
1
Total payment records
General Amount
$17
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $17 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 234 | 41 | $0 |
Insurance plans in this area (ZIP 07450)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NJ | |
| Clinical Social Worker | NJ | |
| - | NJ | |
| - | NJ | |
| Nurse Practitioner | NJ | |
| Clinical Social Worker | NJ | |
| Marriage And Family Therapist | NJ | |
| Clinical Social Worker | NJ | |
| Clinical Social Worker | NJ | |
| Mental Health Counselor | NJ |
Reviews
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