Individual provider Active NPI

Melissa Rose Llave, APN

  • Family Nurse Practitioner
  • Cranford, NJ
National Provider Identifier
1346614823
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00602200 Issued in NJ
Practice address
27 South Avenue West
Cranford, NJ 07016
Phone
(908) 275-3810
Fax
(908) 275-8825
NPI assigned
Nov 20, 2015
Last updated
Mar 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 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 26NJ00602200 NJ Primary

Addresses

Primary practice location

27 South Avenue West
Cranford, NJ 07016

Mailing address

27 South Avenue West
Cranford, NJ 07016
Phone (908) 868-1277

Other names 1

  • Melissa Mojar 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
I20161122000631 NJ Practitioner - Nurse Practitioner 0143509760 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00602200NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Family Medical CurrentSince Apr 2, 2019 Accepting new patients

Locations

216 North Ave E
Cranford, NJ 07016
Phone (908) 272-7500

Organizations & group practices 1

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": "1447977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1346614823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 SOUTH AVENUE WEST",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "07016",
            "telephone_number": "908-868-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 SOUTH AVENUE WEST",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "07016",
            "telephone_number": "908-275-3810",
            "fax_number": "908-275-8825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLAVE",
        "first_name": "MELISSA",
        "middle_name": "ROSE",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-20",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00602200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "MOJAR",
            "credential": "APN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cranford, NJ

Sources for this page

Verify at the official NPI Registry.