Michelle Herasme, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F352299 Issued in NY

Practice address

125 Druid Ave
Dumont, NJ 07628-1909

Phone

(347) 419-6714

NPI assigned

Jul 5, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1457039059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 DRUID AVE",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "076281909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 DRUID AVE",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "076281909",
            "telephone_number": "347-419-6714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERASME",
        "first_name": "MICHELLE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-05",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F352299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frances D Hanna, MSW, LSW
• Melissa Hanna, BA PSYCHOLOGY
• Sharbel John Hanna, PHARMD
• Anne Linda Harutunian, MSW, LCSW
• Ewelina Hauck
• Esther Sima Hoffman, D.O.
• Israa Hussein
• Stephen Ip
• Yvette Jackson-Guzman
• Nathalie C Jackson, LPN

• All providers in Dumont, NJ
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.