Active NPI
Mireya Pazmino, APN
- Psychiatric/Mental Health Nurse Practitioner
- River Edge, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 26NJ15557600
- Practice address
- 887 Kinderkamack Rd Ste 2
River Edge, NJ 07661-2307 - Phone
- (201) 464-0860
- Fax
- (888) 440-2752
- NPI assigned
- May 25, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 26NJ15557600 | NJ | Primary |
Addresses
Primary practice location
887 Kinderkamack Rd Ste 2
River Edge, NJ 07661-2307
Mailing address
887 Kinderkamack Rd Ste 2
River Edge, NJ 07661-2307
Phone (201) 464-0860
Other practice location 1
31-00 Broadway
Fair Lawn, NJ 07410-3963
Phone (201) 791-7771
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
887 Kinderkamack Rd
Suite 2
River Edge, NJ 07661-2307
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ15557600 | NJ | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evergreen Medical Group PC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
31-00 Broadway
Fair Lawn, NJ 07410
Phone (201) 791-7771
887 Kinderkamack Rd
Ste 2
River Edge, NJ 07661
Phone (201) 464-0860
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.
-
- Physical Medicine & Rehabilitation Physician
- River Edge, NJ
- NPI 1295516409
Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783641600000",
"number": "1205767829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "887 KINDERKAMACK RD STE 2",
"city": "RIVER EDGE",
"state": "NJ",
"postal_code": "076612307",
"telephone_number": "201-464-0860",
"fax_number": "888-440-2752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "887 KINDERKAMACK RD STE 2",
"city": "RIVER EDGE",
"state": "NJ",
"postal_code": "076612307",
"telephone_number": "201-464-0860",
"fax_number": "888-440-2752"
}
],
"practiceLocations": [
{
"address_1": "31-00 Broadway",
"address_purpose": "LOCATION",
"city": "Fair Lawn",
"state": "NJ",
"postal_code": "074103963",
"country_code": "US",
"telephone_number": "201-791-7771",
"fax_number": "201-350-8614",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAZMINO",
"first_name": "MIREYA",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-25",
"last_updated": "2026-07-10",
"certification_date": "2026-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NJ",
"license": "26NJ15557600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in River Edge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.