JENALYN CANULLAS
NPI 1881777100
Nurse Practitioner - Adult Health in West Long Branch, NJ
About Jenalyn Canullas NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENALYN CANULLAS (NPI 1881777100) is an individual adult health provider in West Long Branch, New Jersey, licensed in New Jersey (26NJ00073600) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jenalyn Canullas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Jenalyn Canullas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Eatontown, NJ 07724
- Reassigned Medicare billing, New Jersey enrollment
Lyndhurst, NJ 07071
- Reassigned Medicare billing, New Jersey enrollment
- 71 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07764 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
W LONG BRANCH, NJ 07764
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 Jenalyn Canullas's NPI number?
The NPI number for Jenalyn Canullas is 1881777100. It was assigned to this individual provider in the NPPES registry on October 23, 2006.
Where is Jenalyn Canullas located?
Jenalyn Canullas practices at 842 Broadway, West Long Branch, NJ 07764. The listed phone number is (732) 222-0180.
What is Jenalyn Canullas's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Jenalyn Canullas enrolled in Medicare?
Yes. Jenalyn Canullas is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jenalyn Canullas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jenalyn Canullas reassigns Medicare benefits to 2 organizations: Diabetes Education And Wellness (Eatontown, NJ) and Medical Service Professionals Of Nj LLC (Lyndhurst, NJ). Each 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 Jenalyn Canullas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jenalyn Canullas accept?
Health plans from Oscar Health list Jenalyn Canullas as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jenalyn Canullas was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.
# Jenalyn Canullas · NPI 1881777100
Adult Health physician in West Long Branch, New Jersey. Individual provider, active in the CMS NPPES registry since October 23, 2006.
## Identity
- **NPI:** 1881777100 (Entity type: Individual)
- **Enumerated:** October 23, 2006
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 26NJ00073600 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 842 BROADWAY, West Long Branch, NJ 07764-1503
- **Phone:** (732) 222-0180 · **Fax:** (732) 222-3990
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Diabetes Education And Wellness (NPI 1588053706, Eatontown, NJ); Medical Service Professionals Of Nj LLC (NPI 1972044923, Lyndhurst, NJ) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare ID-Type Unspecified 094487UTI; Medicare UPIN Q51866 (NJ)
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Source: [NPI Profile](https://npiprofile.com/npi/1881777100) · Data from the CMS NPPES public registry.