Individual provider Active NPI

Ashlyne Nicky Mejia, NP

  • Family Nurse Practitioner
  • South Orange, NJ
National Provider Identifier
1184595290
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ15413800 Issued in NJ
Practice address
20 Valley St Ste 320
South Orange, NJ 07079-2881
Phone
(973) 313-1113
NPI assigned
Sep 13, 2025
Last updated
Jun 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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 26NJ15413800 NJ Primary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 26NJ15413800 NJ

Addresses

Primary practice location

20 Valley St Ste 320
South Orange, NJ 07079-2881

Mailing address

486 N Maple Ave Apt 1
Apt2
East Orange, NJ 07017-4619
Phone (570) 618-4520

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
I20251125002050 NJ Practitioner - Nurse Practitioner 4082106273 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Personal NP Services LLCGroup PAC ID 9335455179, 65 clinicians

Practice addresses (Care Compare)

456 Chestnut St
Suite 102
Lakewood, NJ 08701-6124
Phone (732) 486-7373

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ15413800NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Woundworks LLC Nurse Practitioner CurrentSince Nov 7, 2025 Accepting new patients
Personal NP Services, LLC Nurse Practitioner CurrentSince Oct 1, 2025 Accepting new patients
Patient Care Medical Group PC CurrentSince Jan 6, 2026 Accepting new patients
Affiliated Primary Care Associates II CurrentSince Feb 5, 2026 Accepting new patients
Vitality NP Group LLC Nurse Practitioner PastSince Oct 1, 2025 Accepting new patients
Goldson Medical Associates, LLC PastSince Jun 7, 2006 Accepting new patients

Locations

26 Main St
Edison, NJ 08837
Phone (609) 385-2622

456 Chestnut St
Ste 102
Lakewood, NJ 08701
Phone (732) 282-7200

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DGJIDD/Endpoint/DGJIDD

Organizations & group practices 7

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": "1757721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1184595290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "486 N MAPLE AVE APT 1",
            "address_2": "APT2",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070174619",
            "telephone_number": "570-618-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 VALLEY ST STE 320",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792881",
            "telephone_number": "973-313-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEJIA",
        "first_name": "ASHLYNE",
        "middle_name": "NICKY",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-13",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15413800",
            "primary": true
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "NJ",
            "license": "26NJ15413800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Orange, NJ

Sources for this page

Verify at the official NPI Registry.