Individual provider Active NPI

Nafisah Abdulsalam, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Hackettstown, NJ
National Provider Identifier
1255706305
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
PMH01260069 Issued in NJ
Practice address
11 Indigo Rd
Hackettstown, NJ 07840-4540
Phone
(646) 326-6071
NPI assigned
Dec 1, 2015
Last updated
Mar 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 26NJ14872200 NJ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X PMH01260069 NJ Primary
Registered Nurse 163W00000X 707004 NY
Emergency Registered Nurse 163WE0003X 26NR19313600 NJ

Addresses

Primary practice location

11 Indigo Rd
Hackettstown, NJ 07840-4540

Mailing address

11 Indigo Rd
Hackettstown, NJ 07840-4540
Phone (646) 326-6071

Other names 1

  • Nafisah Abdulsalam Other name

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
I20241230002900 NJ Practitioner - Nurse Practitioner 7517494701 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
707004NYMDRegistered Nurse
26NR19313600NJMDEmergency Registered Nurse
26NJ14872200NJMDGerontology Nurse Practitioner
PMH01260069NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalpoint Healthpc Multi-Specialty CurrentSince Aug 9, 2025 Accepting new patients
Medical Director Services PC Multi-Specialty CurrentSince Oct 24, 2024 Accepting new patients
Elite Medical & Behavioral Care Services Limited Liability Company Multi-Specialty PastSince Mar 26, 2023 Accepting new patients

Locations

43 N White Horse Pike
Hammonton, NJ 08037
Phone (609) 567-3100

831 Bedford Ave
Brooklyn, NY 11205

Organizations & group practices 3

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": "1448928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1255706305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 INDIGO RD",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078404540",
            "telephone_number": "646-326-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 INDIGO RD",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078404540",
            "telephone_number": "646-326-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDULSALAM",
        "first_name": "NAFISAH",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-01",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ14872200",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "PMH01260069",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "707004",
            "primary": false
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "NJ",
            "license": "26NR19313600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NAFISAH",
            "last_name": "ABDULSALAM",
            "credential": "DNP, AGNP, PMHNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hackettstown, NJ

Sources for this page

Verify at the official NPI Registry.