Michele D Haviland, PNPC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

26NN09740700 Issued in NJ

Practice address

241 Molnar Dr Ste 202
Elmwood Park, NJ 07407-3200

Phone

(201) 578-4147

Fax

(877) 553-1385

NPI assigned

Nov 9, 2006

Last updated

Nov 1, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mhaviland838978@nychhc.direct-ci.com
• Direct secure messaging: michele.haviland@advocaredoctors.eclinicaldirectplus.com

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.

• Advocare, LLC

  • Pediatrics Physician
  • Marlton, NJ
  • NPI 1770538696
  Medicare reassignment NPD
• Advocare , LLC

  dba Advocare Berlin Medical Associates (DME)

  • Internal Medicine Physician
  • Manahawkin, NJ
  • NPI 1912762162
  NPD
• Advocare , LLC

  dba Advocare Benzel Pediatrics

  • Pediatrics Physician
  • Elmwood Park, NJ
  • NPI 1992316715
  NPD
• Advocare

  dba South Jersey Occupational Medicine

  • Occupational Medicine Physician
  • Williamstown, NJ
  • NPI 1073785655
  NPD (past)
• Advocare, LLC

  dba Advocare Atrium Pediatrics

  • Pediatrics Physician
  • Marlton, NJ
  • NPI 1558372920
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1336219963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 WOODLAND AVE",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076491431",
            "telephone_number": "201-986-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 MOLNAR DR STE 202",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074073200",
            "telephone_number": "201-578-4147",
            "fax_number": "877-553-1385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3424 Kossuth Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104672410",
            "country_code": "US",
            "telephone_number": "718-519-3015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAVILAND",
        "first_name": "MICHELE",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "PNPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "381199",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "26NN09740700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheldon H. Greenspan, D. D. S.
• Arielle Leah Gromack
• Pushpa Gupta, M.D.
• Jasmin Harounian, M.D.
• Sean Barrington Harrow Sr.
• Health One Medical & Physical Rehabilitation LLC
• Tamia Nicole Henry
• Matthew Alexander Hernandez
• Hma Medical Suppliers
• Katie Hoang, PHARMD

• Pediatric Nurse Practitioner in Elmwood Park, NJ
• Providers in Elmwood Park, NJ by specialty
• Pediatric Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.