Melissa Roe Cubala, APN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ14969300 Issued in NJ

Practice address

6 Forest Ave Ste 202
Paramus, NJ 07652-5245

Phone

(201) 381-3810

Fax

(201) 381-3811

NPI assigned

Dec 21, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Forest Recovery and Psychiatric Group IncGroup PAC ID 6507229077, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Forest Recovery and Psychiatric Group Inc

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Paramus, NJ
  • NPI 1720626922

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Asaf Klein MD PLLC

  • Neurology Physician
  • Rockville Centre, NY
  • NPI 1487402368

  NJ, Single Specialty

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1235908997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 WINDSOR CIR",
            "city": "TOWNSHIP OF WASHINGTON",
            "state": "NJ",
            "postal_code": "076764354",
            "telephone_number": "201-660-2370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 FOREST AVE STE 202",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076525245",
            "telephone_number": "201-381-3810",
            "fax_number": "201-381-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUBALA",
        "first_name": "MELISSA",
        "middle_name": "ROE",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-21",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ14969300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frances E Crangle, LPC
• John William Cranston, LSW
• Enoli Crespo, MD
• Monica Cruz
• Cto Orthopaedics LLC
• Cara Maria Cuccinello, MSW, LCSW
• Amanda Cuffe, LAC
• Jacqueline Kate Culbertson
• Christina Marie Cullen, LSW
• Winifred H Cunningham, MSW, LSW, LCADC

• Psychiatric/Mental Health Nurse Practitioner in Paramus, NJ
• Providers in Paramus, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; 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.

Verify at the official NPI Registry.