Individual provider Active NPI

Michelle Maria Nolasco

  • Physician Assistant
  • Woodbridge, NJ
National Provider Identifier
1215633219
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
140 Pikeview LN
Woodbridge, NJ 07095-1005
Phone
(908) 759-9475
NPI assigned
Feb 1, 2023
Last updated
Feb 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

140 Pikeview LN
Woodbridge, NJ 07095-1005

Mailing address

140 Pikeview LN
Woodbridge, NJ 07095-1005
Phone (908) 759-9475

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
I20230531002117 NJ Practitioner - Physician Assistant 9133586506 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Woodbridge Medical Associates,P.a.Group PAC ID 7618933383, 5 clinicians
Browne Medical LLCGroup PAC ID 9032347281, 19 clinicians

Practice addresses (Care Compare)

1000 Route 9 N
Suite 302
Woodbridge, NJ 07095-1200
Phone 7326340036240

907 Oak Tree Ave
Suite H
South Plainfield, NJ 07080-5131
Phone (908) 222-3500

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Browne Medical, LLC CurrentSince Feb 1, 2026 Accepting new patients
The Radiology Group of New Jersey, LLC Past Accepting new patients

Locations

1140 State Route 34
Aberdeen, NJ 07747
Phone (732) 583-5100

90 S Livingston Ave
Livingston, NJ 07039
Phone (973) 601-2626

907 Oak Tree Ave
Ste H
South Plainfield, NJ 07080
Phone (908) 222-3500

464 Eagle Rock Ave
Ste C
West Orange, NJ 07052
Phone (973) 669-5900

Organizations & group practices 5

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": "1675209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1215633219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 PIKEVIEW LN",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070951005",
            "telephone_number": "908-759-9475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 PIKEVIEW LN",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070951005",
            "telephone_number": "908-759-9475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLASCO",
        "first_name": "MICHELLE",
        "middle_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, NJ

Sources for this page

Verify at the official NPI Registry.