Individual provider Active NPI

Aida Mecaral-Sese

  • Acute Care Nurse Practitioner
  • Piscataway, NJ
National Provider Identifier
1396077129
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
26NJ00276900 Issued in NJ
Practice address
41 Carriage Dr
Piscataway, NJ 08854-5981
Phone
(732) 841-5712
NPI assigned
Feb 4, 2010
Last updated
Feb 4, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 26NJ00276900 NJ Primary

Addresses

Primary practice location

41 Carriage Dr
Piscataway, NJ 08854-5981

Mailing address

41 Carriage Dr
Piscataway, NJ 08854-5981
Phone (732) 841-5712

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
I20110513000474 NJ Practitioner - Nurse Practitioner 0749466456 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Azz Medical Associates PCGroup PAC ID 6002132685, 63 clinicians

Practice addresses (Care Compare)

1440 Pennington Rd
Suite 1
Ewing, NJ 08618-2669
Phone (609) 890-1050

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00276900NJMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Avenue Professional Services, PC CurrentSince Apr 6, 2017 Accepting new patients
Azz Medical Associates PC CurrentSince Dec 5, 2024 Accepting new patients

Locations

1440 Pennington Rd
Ste 1
Ewing, NJ 08618
Phone (609) 422-7928

111 Central Ave
Newark, NJ 07102
Phone (973) 877-5060

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1265241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265241600000",
    "number": "1396077129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 CARRIAGE DR",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088545981",
            "telephone_number": "732-841-5712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 CARRIAGE DR",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088545981",
            "telephone_number": "732-841-5712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MECARAL-SESE",
        "first_name": "AIDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-04",
        "last_updated": "2010-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "26NJ00276900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Piscataway, NJ

Sources for this page

Verify at the official NPI Registry.