Individual provider Active NPI

Michelle Mesiano, APN

  • Family Nurse Practitioner
  • Totowa, NJ
National Provider Identifier
1255854063
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00746600 Issued in NJ
Practice address
650 Union Blvd Ste 16
Totowa, NJ 07512
Phone
(973) 938-5200
Fax
(973) 938-5191
NPI assigned
Jul 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00746600 NJ Primary

Addresses

Primary practice location

650 Union Blvd Ste 16
Totowa, NJ 07512

Mailing address

PO Box 416457
Boston, MA 02241-6458
Phone (844) 362-1735

Other practice location 1

780 Cedar Ln
Teaneck, NJ 07666
Phone (201) 836-7664

Other practice location 2

11A Franklin Ave Unit A
Montvale, NJ 07645-2528
Phone (201) 914-5834

Other practice location 3

1400 MacArthur Blvd
Mahwah, NJ 07430
Phone (201) 316-8431

Other names 1

  • Ms. Michelle Katz Former 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
I20171106001117 NJ Practitioner - Nurse Practitioner 8729344890 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

650 Union Blvd
Unit 16
Totowa, NJ 07512-2422
Phone (908) 938-5191

Hospital & facility affiliations

  • Chilton Medical Center Hospital, Pompton Plains, NJ, CCN 310017
  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Physician Services PC CurrentSince Sep 1, 2017 Accepting new patients
Practice Associates Medical Group CurrentSince Jul 3, 2023 Accepting new patients

Locations

1400 MacArthur Blvd
Mahwah, NJ 07430
Phone (201) 316-8431

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

465 South St
Ste 103
Morristown, NJ 07960
Phone (973) 971-7130

340C Ramapo Valley Rd
Oakland, NJ 07436
Phone (201) 416-4346

223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417

780 Cedar Ln
Teaneck, NJ 07666
Phone (201) 836-5333

650 Union Blvd
Ste 16
Totowa, NJ 07512
Phone (973) 938-5200

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 and National Provider Directory roles.

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": "1500854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1255854063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416457",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416458",
            "telephone_number": "844-362-1735",
            "fax_number": "973-290-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 UNION BLVD STE 16",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "07512",
            "telephone_number": "973-938-5200",
            "fax_number": "973-938-5191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "780 Cedar Ln",
            "address_purpose": "LOCATION",
            "city": "Teaneck",
            "state": "NJ",
            "postal_code": "07666",
            "country_code": "US",
            "telephone_number": "201-836-7664",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11A Franklin Ave Unit A",
            "address_purpose": "LOCATION",
            "city": "Montvale",
            "state": "NJ",
            "postal_code": "076452528",
            "country_code": "US",
            "telephone_number": "201-914-5834",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 MacArthur Blvd",
            "address_purpose": "LOCATION",
            "city": "Mahwah",
            "state": "NJ",
            "postal_code": "07430",
            "country_code": "US",
            "telephone_number": "201-316-8431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MESIANO",
        "first_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-24",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00746600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "KATZ",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Totowa, NJ

Sources for this page

Verify at the official NPI Registry.