REGINA PATRICK
NPI 1891517942
Nurse Practitioner - Family in Montclair, NJ
About Regina Patrick NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REGINA PATRICK (NPI 1891517942) is an individual family provider in Montclair, New Jersey, licensed in New Jersey (26NJ151182400) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Regina Patrick is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MONTCLAIR, NJ 07042
MONTCLAIR, NJ 07042
MONTCLAIR, NJ 07042
MONTCLAIR, NJ 07042
MONTCLAIR, NJ 07042
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 Regina Patrick's NPI number?
The NPI number for Regina Patrick is 1891517942. It was assigned to this individual provider in the NPPES registry on October 29, 2024.
Where is Regina Patrick located?
Regina Patrick practices at 1 Bay Ave, Montclair, NJ 07042. The listed phone number is (973) 429-6000.
What is Regina Patrick's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Regina Patrick enrolled in Medicare?
Yes. Regina Patrick is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Regina Patrick was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Regina Patrick · NPI 1891517942
Family physician in Montclair, New Jersey. Individual provider, active in the CMS NPPES registry since October 29, 2024.
## Identity
- **NPI:** 1891517942 (Entity type: Individual)
- **Enumerated:** October 29, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 26NJ151182400 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1 BAY AVE, Montclair, NJ 07042-4837
- **Phone:** (973) 429-6000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** October 29, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1891517942) · Data from the CMS NPPES public registry.