JERICHO HEALTHCARE
NPI 1689353518
Nurse Practitioner - Psychiatric/Mental Health in Warren, NJ

Active since July 17, 2023
53 MOUNTAIN BLVD STE 200, WARREN, NJ 07059(484) 202-0826 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 8, 2025, Apr 3, 2024, Nov 6, 2023 and 2 more (5 updates tracked since 2023).

About Jericho Healthcare NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERICHO HEALTHCARE (NPI 1689353518) is a healthcare organization registered as a psychiatric/mental health in Warren, New Jersey and active in the NPI registry since July 2023. The organization lists Joel Pierre, Owner, as its authorized official.

NPPES Registry Identity

NPI1689353518
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameJERICHO HEALTHCARE
Location Address53 MOUNTAIN BLVD STE 200Warren, NJ 07059-5699
Mailing Address53 Mountain Blvd Ste 200Warren, NJ 07059-5699
Organization SubpartNo
Authorized OfficialJoel PierreOwner · (484) 202-0826
Enumeration DateJuly 17, 2023
Last NPPES UpdateMay 8, 20255 updates tracked since enumeration
NPPES CertifiedMay 8, 2025
✔ NPI 1689353518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
53 MOUNTAIN BLVD STE 200, Warren, NJ 07059

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jericho Healthcare is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jericho Healthcare, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1235446006
2571 BAGLYOS CIR STE B29
Bethlehem, PA 18020
(484) 202-0826
✔ PECOS42 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jericho Healthcare's NPI number?

The NPI number for Jericho Healthcare is 1689353518. It was assigned to this organization in the NPPES registry on July 17, 2023.

Where is Jericho Healthcare located?

Jericho Healthcare is located at 53 Mountain Blvd Ste 200, Warren, NJ 07059. The listed phone number is (484) 202-0826.

What is Jericho Healthcare's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jericho Healthcare enrolled in Medicare?

Yes. Jericho Healthcare is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jericho Healthcare?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Jericho Healthcare. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jericho Healthcare was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.