Individual provider Active NPI

Helen Marie Meehan, NP-C

  • Adult Health Nurse Practitioner
  • Maywood, NJ
National Provider Identifier
1235652561
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00740500 Issued in NJ
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, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170911000865 NJ Practitioner - Nurse Practitioner 4587937768 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
26NJ00740500NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Diseases Associates of Northern New Jersey LLC CurrentSince Jun 1, 2018 Accepting new patients
MPV New Jersey MD Services PC PastSince Jun 1, 2018 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.