Individual provider Active NPI

Brittany L Demelio, AGACNP

  • Acute Care Nurse Practitioner
  • Hackensack, NJ
National Provider Identifier
1467189159
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
26NJ01346300 Issued in NJ
Practice address
30 Prospect Ave
Hackensack, NJ 07601-1915
Phone
(551) 996-2000
NPI assigned
Aug 3, 2022
Last updated
Aug 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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 26NJ01346300 NJ Primary

Addresses

Primary practice location

30 Prospect Ave
Hackensack, NJ 07601-1915

Mailing address

536 Route 340
Sparkill, NY 10976-1410
Phone (845) 826-0983

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, DE, NJ, FL, NH, ME, NY, AL, WA, TX10 enrollments
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 10

Enrollment IDStateProvider typePAC IDDetails
I20251230003200 OH Practitioner - Nurse Practitioner 6709372600 Reassigns benefits to 3 organizations
I20251231000595 DE Practitioner - Nurse Practitioner 6709372600 Reassigns benefits to 3 organizations
I20251231001323 NJ Practitioner - Nurse Practitioner 6709372600 Reassigns benefits to 2 organizations
I20260102001495 FL Practitioner - Nurse Practitioner 6709372600 Reassigns benefits to 4 organizations
I20260120000252 NH Practitioner - Nurse Practitioner 6709372600 Reassigns benefits to 3 organizations
I20260326000436 ME Practitioner - Nurse Practitioner 6709372600 Reassigns benefits to 3 organizations
I20260326001058 NY Practitioner - Nurse Practitioner 6709372600 Reassigns benefits to 3 organizations
I20260330001918 AL Practitioner - Nurse Practitioner 6709372600 Reassigns benefits to 3 organizations
I20260402003307 WA Practitioner - Nurse Practitioner 6709372600 Reassigns benefits to 3 organizations
I20260626004359 TX Practitioner - Nurse Practitioner 6709372600 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ivy Medical Group PLLCGroup PAC ID 4981097797, 120 clinicians
Daniel Funsch Jr MD PCGroup PAC ID 1951801836, 139 clinicians
Dr Rebman Medical PAGroup PAC ID 3678087400, 88 clinicians
Lumina Care Medical NJ LLCGroup PAC ID 6608305156, 60 clinicians

Practice addresses (Care Compare)

1150 W Dorothy LN
Kettering, OH 45409-1305
Phone (212) 734-6621

1507 S Tuttle Ave
Sarasota, FL 34239-2608
Phone (212) 734-6621

20 Maitland St
Concord, NH 03301-3534
Phone (212) 734-6621

25 E Lindsley Rd
Cedar Grove, NJ 07009-1023
Phone (212) 734-6621

715 E King St
Seaford, DE 19973-3505
Phone (212) 734-6621

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ01346300NJMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Rebman BH LLC CurrentSince Nov 6, 2025 Accepting new patients
Daniel Funsch Jr, M.D., P.C. CurrentSince Oct 24, 2025 Accepting new patients
Dr Rebman Medical PA CurrentSince Dec 12, 2025 Accepting new patients
Ivy Medical Group PLLC CurrentSince Oct 19, 2025 Accepting new patients
Lumina Care Medical NJ LLC CurrentSince Oct 28, 2025 Accepting new patients

Locations

715 E King St
Seaford, DE 19973
Phone (302) 536-5628

633 NE 167th St
Ste 301
North Miami Beach, FL 33162

1507 S Tuttle Ave
Sarasota, FL 34239
Phone (941) 366-0336

20 Maitland St
Concord, NH 03301
Phone (516) 817-7093

25 E Lindsley Rd
Cedar Grove, NJ 07009
Phone (201) 647-8035

885 3rd Ave
Fl 28
New York, NY 10022
Phone (929) 650-3990

1150 W Dorothy Ln
Kettering, OH 45409
Phone (866) 871-1686

Organizations & group practices 5

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 4

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": "1659484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1467189159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 ROUTE 340",
            "city": "SPARKILL",
            "state": "NY",
            "postal_code": "109761410",
            "telephone_number": "845-826-0983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PROSPECT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011915",
            "telephone_number": "551-996-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMELIO",
        "first_name": "BRITTANY",
        "middle_name": "L",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "26NJ01346300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.