Individual provider Active NPI

Esther Neff Mermelstein, RN

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1114448776
Registry record updated Sep 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00826900 Issued in NJ
Practice address
90 Laurel Hill Ter Apt 3N
New York, NY 10033-1624
Phone
(201) 286-5398
NPI assigned
Jul 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00826900 NJ Primary
Inpatient Obstetric Registered Nurse 163WX0003X 6708251 NY

Addresses

Primary practice location

90 Laurel Hill Ter Apt 3N
New York, NY 10033-1624

Mailing address

90 Laurel Hill Ter Apt 3N
New York, NY 10033-1624

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
I20181010000633 NJ Practitioner - Nurse Practitioner 1759633373 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6708251NYMDInpatient Obstetric Registered Nurse
26NJ00826900NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care of New Jersey PC CurrentSince Oct 1, 2018 Accepting new patients
Ennoble HC NJ III PC CurrentSince Mar 9, 2026 Accepting new patients
Ennoble HC NJ PC CurrentSince Mar 9, 2026 Accepting new patients
Personal NP Services, LLC CurrentSince Dec 26, 2022 Accepting new patients
Ennoble HC NJ II PC CurrentSince Mar 9, 2026 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Oct 1, 2018 Accepting new patients

Locations

935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012

2 University Plz
Ste 204
Hackensack, NJ 07601
Phone (201) 564-0142

685 River Ave
Unit 3
Lakewood, NJ 08701
Phone (732) 987-3855

714 10th St
Secaucus, NJ 07094
Phone (201) 863-3346

38 Meadowlands Pkwy
Ste 205
Secaucus, NJ 07094
Phone (201) 552-2357

3403 S Delsea Dr
Vineland, NJ 08360
Phone (856) 293-6974

Organizations & group practices 6

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": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1114448776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 LAUREL HILL TER APT 3N",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100331624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 LAUREL HILL TER APT 3N",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100331624",
            "telephone_number": "201-286-5398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERMELSTEIN",
        "first_name": "ESTHER",
        "middle_name": "NEFF",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-03",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00826900",
            "primary": true
        },
        {
            "code": "163WX0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Obstetric, Inpatient",
            "state": "NY",
            "license": "6708251",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.