Individual provider Active NPI

Melissa Sunga-Martin, FNP-BC

  • Family Nurse Practitioner
  • Kendall Park, NJ
National Provider Identifier
1023734415
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01338300 Issued in NJ
Practice address
3086 State Route 27 Ste 10
Kendall Park, NJ 08824-1658
Phone
(201) 815-3224
NPI assigned
Oct 17, 2022
Last updated
Jun 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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 26NJ01338300 NJ Primary

Addresses

Primary practice location

3086 State Route 27 Ste 10
Kendall Park, NJ 08824-1658

Mailing address

51 Kline PL
Dunellen, NJ 08812-1608
Phone (201) 815-3224

Other practice location 1

1964 Oak Tree Rd
Edison, NJ 08820-2016
Phone (732) 635-0050

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
I20231012002483 NJ Practitioner - Nurse Practitioner 5597110486 Reassigns benefits to 2 organizations
Practice locations: Middlesex, NJ

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Lavender Grove Long Term Care PCGroup PAC ID 7113431495, 4 clinicians
Tantalum Health LLCGroup PAC ID 9739518143, 3 clinicians

Practice addresses (Care Compare)

35 Runnymede Rd
Chatham, NJ 07928-1331
Phone (973) 715-3304

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ01338300NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tantalum Health LLC CurrentSince Jan 24, 2025 Accepting new patients
Pradip a. Shah, M.D. P.C. CurrentSince Apr 1, 2024 Accepting new patients

Locations

1964 Oak Tree Rd
Edison, NJ 08820
Phone (732) 331-4943

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1023734415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 KLINE PL",
            "city": "DUNELLEN",
            "state": "NJ",
            "postal_code": "088121608",
            "telephone_number": "201-815-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3086 STATE ROUTE 27 STE 10",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088241658",
            "telephone_number": "201-815-3224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1964 Oak Tree Rd",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088202016",
            "country_code": "US",
            "telephone_number": "732-635-0050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUNGA-MARTIN",
        "first_name": "MELISSA",
        "name_prefix": "Miss",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-17",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01338300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kendall Park, NJ

Sources for this page

Verify at the official NPI Registry.