Melissa K Muthusammy, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ01386000 Issued in NJ

Practice address

152 Vreeland Rd
West Milford, NJ 07480-2937

Phone

(973) 567-9031

NPI assigned

Nov 2, 2022

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

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: melissa.muthusammy.1@17698.direct.athenahealth.com

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1295442952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 VREELAND RD",
            "city": "WEST MILFORD",
            "state": "NJ",
            "postal_code": "074802937",
            "telephone_number": "973-567-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 VREELAND RD",
            "city": "WEST MILFORD",
            "state": "NJ",
            "postal_code": "074802937",
            "telephone_number": "973-567-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTHUSAMMY",
        "first_name": "MELISSA",
        "middle_name": "K",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01386000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mira Vie at West Milford Opco LLC
• Susan Moran
• Terence E Moran, DPT
• Sofia Maria Morton
• Cesarlevi Munoz II
• Nancy Nocella, LCSW
• Esra Omeroglu, DO
• Basil N Pallis, D.D.S
• Barbara Pangilinan, PMHNP-BC
• Nikolina N Paskoski, PHARMD.

• Family Nurse Practitioner in West Milford, NJ
• Providers in West Milford, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.