JAN FORD NP NPI 1912564428

NPI Information

NPI: 1912564428
Provider Name: JAN FORD, NP
Classification: Nurse Practitioner - 363LP0808X
Specialization: Psychiatric/Mental Health
Entity Type: Individual
PECOS Registration: Yes
Address: 500 MAIN ST STE 1
LANOKA HARBOR, NJ
ZIP 08734
Phone: (732) 719-1920

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NPI Details

Jan Ford, NP is a psychiatric/mental health nurse practitioner in Lanoka Harbor, NJ with 10 years of experience. Jan Ford, NP NPI is 1912564428. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

500 MAIN ST STE 1
LANOKA HARBOR, NJ
ZIP 08734-228
Phone: (732) 719-1920
Fax: (732) 719-1920

The NPI 1912564428 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Psychotherapy with evaluation and management visit, 30 minutes (HCPCS:90833)
Psychiatric services complicated by communication factor (HCPCS:90785)
Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)

The enumeration date for this NPI number is 5/21/2019 and was last updated on 8/15/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	26NJ00922600	NEW JERSEY	Yes
2	363LF0000X	Nurse Practitioner	Family	26NJ00922600	NEW JERSEY	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	26NJ00922600	OTHER	NEW JERSEY	FOR COMMERCIAL INSURANCES
2	26NJ00922600	MEDICAID	NEW JERSEY
3	26NJ00922600	OTHER	NEW JERSEY	ADVANCED PRACTICE NURSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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