Individual provider Active NPI

Mireille Saint Juste, FNP

  • Family Nurse Practitioner
  • Union, NJ
National Provider Identifier
1093149403
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00446900 Issued in NJ
Practice address
1671 Walker Ave
Apt B
Union, NJ 07083-4739
Phone
(908) 267-1565
NPI assigned
Aug 21, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2013

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 26NJ00446900 NJ Primary

Addresses

Primary practice location

1671 Walker Ave
Apt B
Union, NJ 07083-4739

Mailing address

1671 Walker Ave
Apt B
Union, NJ 07083-4739

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
I20150408001856 NJ Practitioner - Nurse Practitioner 4385962059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Rutgers New Jersey Medical School, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MM JC Breathing Center Family LTD PartnershipGroup PAC ID 6406905850, 7 clinicians

Practice addresses (Care Compare)

192 Harrison Ave
Jersey City, NJ 07304-1906
Phone (201) 333-5363

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MM JC Breathing Center Family LTD Partnership CurrentSince Apr 23, 2019 Accepting new patients

Locations

550 Summit Ave
Ste 1A
Jersey City, NJ 07306
Phone (201) 222-5450

142 Palisade Ave
Ste 108
Jersey City, NJ 07306
Phone (201) 420-1555

192 Harrison Ave
Jersey City, NJ 07304
Phone (201) 333-5363

1856 John F Kennedy Blvd
Jersey City, NJ 07305
Phone (973) 645-0000

550 Summit Ave
Ste 1
Jersey City, NJ 07306

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377043200000",
    "number": "1093149403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1671 WALKER AVE",
            "address_2": "APT B",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070834739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1671 WALKER AVE",
            "address_2": "APT B",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070834739",
            "telephone_number": "908-267-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAINT JUSTE",
        "first_name": "MIREILLE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-21",
        "last_updated": "2013-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00446900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

Verify at the official NPI Registry.