Individual provider Active NPI

Milka Mejia

  • Primary Care Nurse Practitioner
  • Union City, NJ
National Provider Identifier
1407201189
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
26NJ00633600 Issued in NJ
Practice address
4522 Kennedy Blvd
Union City, NJ 07087-8014
Phone
(201) 988-7248
Fax
(201) 863-6117
NPI assigned
Apr 29, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11023962 FL
Family Nurse Practitioner 363LF0000X 26NJ00633600 NJ
Primary Care Nurse Practitioner 363LP2300X 26NJ00633600 NJ Primary

Addresses

Primary practice location

4522 Kennedy Blvd
Union City, NJ 07087-8014

Mailing address

4522 Kennedy Blvd
Union City, NJ 07087-8014
Phone (201) 988-7248

Other practice location 1

145 Sandestin Dr
Haines City, FL 33844-6256
Phone (201) 988-7248

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
I20170424000794 NJ Practitioner - Nurse Practitioner 4284910407 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deepak Amin, M.D., LLCGroup PAC ID 5597813832, 3 clinicians

Practice addresses (Care Compare)

4522 Kennedy Blvd
Union City, NJ 07087-8014
Phone (201) 863-1797

Hospital & facility affiliations

  • Carepoint Health-Hoboken University Medical Center Hospital, Hoboken, NJ, CCN 310040

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11023962FLMDNurse Practitioner
26NJ00633600NJMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Jersey Pulmonary Associates CurrentSince Oct 1, 2020 Accepting new patients
Deepak Amin, M.D., LLC CurrentSince Aug 1, 2018 Accepting new patients

Locations

127 Union St
Ste 105
Ridgewood, NJ 07450
Phone (201) 445-0880

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IDBGBD

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1461888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1407201189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4522 KENNEDY BLVD",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070878014",
            "telephone_number": "201-988-7248",
            "fax_number": "201-863-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4522 KENNEDY BLVD",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070878014",
            "telephone_number": "201-988-7248",
            "fax_number": "201-863-6117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 Sandestin Dr",
            "address_purpose": "LOCATION",
            "city": "Haines City",
            "state": "FL",
            "postal_code": "338446256",
            "country_code": "US",
            "telephone_number": "201-988-7248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEJIA",
        "first_name": "MILKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-29",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11023962",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00633600",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ00633600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, NJ

Sources for this page

Verify at the official NPI Registry.