Personal NP Services, LLC
NPI 1649658105ActiveOrganization· Nurse Practitioner· Lakewood, NJ
Nurse Practitioner in Lakewood, New Jersey, registered in NPPES in May 2015. The authorized official on file is Ettie Tress, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1649658105 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 15, 2015 |
| Last updated in NPPES | Feb 10, 2025 |
| Certified by provider | Feb 10, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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