Individual provider Active NPI

Melissa Matina, FNP

  • Family Nurse Practitioner
  • Clifton, NJ
National Provider Identifier
1003324526
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00799100 Issued in NJ
Practice address
4 Brighton Rd Ste 401
Clifton, NJ 07012-1646
Phone
(973) 777-7727
NPI assigned
Jan 18, 2018
Last updated
Feb 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

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 26NJ00799100 NJ Primary

Addresses

Primary practice location

4 Brighton Rd Ste 401
Clifton, NJ 07012-1646

Mailing address

4 Brighton Rd Ste 401
Clifton, NJ 07012-1646
Phone (973) 777-7727

Other practice location 1

246 Hamburg Tpke Ste 205
Wayne, NJ 07470-2160
Phone (973) 389-1800

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
I20190404000655 NJ Practitioner - Nurse Practitioner 9739420548 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
Group practices
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians

Practice addresses (Care Compare)

350 Engle St
Englewood, NJ 07631-1808
Phone (201) 894-3158

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00799100NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Englewood, PC CurrentSince May 2, 2022 Accepting new patients

Locations

4 Brighton Rd
Ste 401
Clifton, NJ 07012
Phone (973) 777-7727

350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073

22-18 Broadway
Ste 201
Fair Lawn, NJ 07410
Phone 20147550501141

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

246 Hamburg Tpke
Ste 205
Wayne, NJ 07470
Phone (973) 389-1800

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1516233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1003324526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BRIGHTON RD STE 401",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121646",
            "telephone_number": "973-777-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 BRIGHTON RD STE 401",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121646",
            "telephone_number": "973-777-7727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "246 Hamburg Tpke Ste 205",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "NJ",
            "postal_code": "074702160",
            "country_code": "US",
            "telephone_number": "973-389-1800",
            "fax_number": "973-636-2734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATINA",
        "first_name": "MELISSA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-18",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00799100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.