Emerald Medina, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ01254300 Issued in NJ

Practice address

381 Chestnut St Ste 4
Union, NJ 07083-9417

Phone

(908) 688-8007

NPI assigned

Jan 13, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: emerald.medina.1@19323.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/19323/brand/1/csg/1/fhir/r4

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.

• Epilepsy & Neurophysiology Medical Consultants PA

  • Neurology Physician
  • Hackensack, NJ
  • NPI 1013998830
  Medicare reassignment
• Naveen Mehrotra, MD, PA

  • Pediatrics Physician
  • Edison, NJ
  • NPI 1063784841
  NPD (past)

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1356092183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 CHESTNUT ST STE 4",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070839417",
            "telephone_number": "908-688-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 CHESTNUT ST STE 4",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070839417",
            "telephone_number": "908-688-8007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "171 Elmora Ave Fl 3Floor",
            "address_purpose": "LOCATION",
            "city": "Elizabeth",
            "state": "NJ",
            "postal_code": "072021169",
            "country_code": "US",
            "telephone_number": "908-289-2239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "EMERALD",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-13",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01254300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Athenahealth",
            "affiliation": "Y",
            "affiliationName": "My Whole Child Pediatrics",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "381 Chestnut St Ste 4",
            "city": "Union",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070839417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rebeccah McLoughlin
• Yasmin Meagher
• Beatrice O Mebude
• Medical Clinic Caring International & Wellness Center LLC
• Medical Rehabilitation and Pain Management PC
• Medrescue Mobile Health Services
• Mega Care Inc. (Cornell Hall Nursing and Rehabilitation)
• Mega Care Inc. (Cornell Hall Nursing and Rehabilitation)
• Stephanie F. Meiz, PMHNP-BC
• Tatevik Melkumian, DMD

• Family Nurse Practitioner in Union, NJ
• Providers in Union, 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 Oct 1, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.