Individual provider Active NPI

Michael Anthony Williams-Healy, APN

  • Family Nurse Practitioner
  • Hackensack, NJ
National Provider Identifier
1003311127
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00810700 Issued in NJ
Practice address
155 Polifly Rd
Hackensack, NJ 07601-1758
Phone
(201) 343-6360
NPI assigned
Mar 29, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00810700 NJ Primary

Addresses

Primary practice location

155 Polifly Rd
Hackensack, NJ 07601-1758

Mailing address

3 University PLZ Ste 205
Hackensack, NJ 07601-6208

Other practice location 1

124 Washington Ave
Nutley, NJ 07110-3502
Phone (973) 661-0128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180417001352 NJ Practitioner - Nurse Practitioner 7618230061 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Physician Services PCGroup PAC ID 3577857333, 593 clinicians
Excelcare Medical Associates PAGroup PAC ID 4284647868, 200 clinicians

Practice addresses (Care Compare)

108 Jackson St
Apt 6B
Hoboken, NJ 07030-6101
Phone (800) 825-5391

155 Polifly Rd
Hackensack, NJ 07601-1758
Phone (201) 343-6364

223 N Van Dien Ave
Ridgewood, NJ 07450-2726
Phone (201) 447-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Physician Services PC CurrentSince May 15, 2019 Accepting new patients
Excelcare Medical Associates, PA CurrentSince Apr 1, 2023 Accepting new patients

Locations

341 Broad St
Clifton, NJ 07013
Phone (973) 461-3358

341 Broad St
Ste A
Clifton, NJ 07013

230 Sherman Ave
Ste A
Glen Ridge, NJ 07028
Phone (201) 989-5659

155 Polifly Rd
Fl 3
Hackensack, NJ 07601

155 Polifly Rd
Ste 301
Hackensack, NJ 07601
Phone (201) 343-6360

155 Polifly Rd
Hackensack, NJ 07601
Phone (201) 343-6360

3 University Plz
Ste 205
Hackensack, NJ 07601

415 W Saint Georges Ave
Linden, NJ 07036
Phone (908) 925-0363

223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

140 Franklin Tpke
Ste 6A
Waldwick, NJ 07463
Phone (201) 447-3603

1578 Route 23
Ste 100
Wayne, NJ 07470

Interoperability endpoints

  • Direct secure messaging: michael.williams-healy.1@5622.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1003311127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 UNIVERSITY PLZ STE 205",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 POLIFLY RD",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011758",
            "telephone_number": "201-343-6360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "124 Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Nutley",
            "state": "NJ",
            "postal_code": "071103502",
            "country_code": "US",
            "telephone_number": "973-661-0128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS-HEALY",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-29",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00810700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.