Active NPI
Helen Marie Meehan, NP-C
- Adult Health Nurse Practitioner
- Maywood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 26NJ00740500
- Practice address
- 255 W Spring Valley Ave Ste 100
Maywood, NJ 07607-1444 - Phone
- (201) 291-4075
- Fax
- (201) 881-0109
- NPI assigned
- Jul 19, 2017
- Last updated
- Sep 25, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 26NJ00740500 | NJ | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | 26NJ00740500 | NJ | |
| Primary Care Nurse Practitioner | 363LP2300X | 26NJ00740500 | NJ |
Addresses
Primary practice location
255 W Spring Valley Ave Ste 100
Maywood, NJ 07607-1444
Mailing address
36 Wanamaker Ave Apt 208
Waldwick, NJ 07463-1635
Phone (201) 230-9716
Other practice location 1
9225 John F. Kennedy Blvd
North Bergen, NJ 07047
Phone (201) 453-2800
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
255 W Spring Valley Ave
Suite 202
Maywood, NJ 07607-1444
Phone (201) 881-0107
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00740500 | NJ | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infectious Diseases Associates of Northern New Jersey LLC | Current | Accepting new patients | |
| MPV New Jersey MD Services PC | Past | Accepting new patients |
Locations
255 W Spring Valley Ave
Ste 100
Maywood, NJ 07607
Phone (201) 291-1010
255 W Spring Valley Ave
Ste 202
Maywood, NJ 07607
Phone (201) 289-5906
Organizations & group practices 2
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.
-
- Infectious Disease Physician
- Maywood, NJ
- NPI 1144476961
-
- Durable Medical Equipment & Medical Supplies
- Bloomfield, NJ
- NPI 1801542816
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Hackensack University Medical Center
- General Acute Care Hospital
- Hackensack, NJ
- NPI 1457456279
-
dba Hackensack Meridian Diagnostic Laboratory
- Clinical Medical Laboratory
- Hackensack, NJ
- NPI 1518683929
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537833600000",
"number": "1235652561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 WANAMAKER AVE APT 208",
"city": "WALDWICK",
"state": "NJ",
"postal_code": "074631635",
"telephone_number": "201-230-9716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 W SPRING VALLEY AVE STE 100",
"city": "MAYWOOD",
"state": "NJ",
"postal_code": "076071444",
"telephone_number": "201-291-4075",
"fax_number": "201-881-0109"
}
],
"practiceLocations": [
{
"address_1": "9225 John F. Kennedy Blvd",
"address_purpose": "LOCATION",
"city": "North Bergen",
"state": "NJ",
"postal_code": "07047",
"country_code": "US",
"telephone_number": "201-453-2800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEEHAN",
"first_name": "HELEN",
"middle_name": "MARIE",
"name_prefix": "Miss",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-19",
"last_updated": "2018-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NJ",
"license": "26NJ00740500",
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NJ",
"license": "26NJ00740500",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NJ",
"license": "26NJ00740500",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maywood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; 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.