Active NPI
Brittany L Demelio, AGACNP
- Acute Care Nurse Practitioner
- Hackensack, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 26NJ01346300
- Practice address
- 30 Prospect Ave
Hackensack, NJ 07601-1915 - Phone
- (551) 996-2000
- NPI assigned
- Aug 3, 2022
- Last updated
- Aug 3, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 10
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ01346300 | NJ | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Rebman BH LLC | Current | Accepting new patients | |
| Daniel Funsch Jr, M.D., P.C. | Current | Accepting new patients | |
| Dr Rebman Medical PA | Current | Accepting new patients | |
| Ivy Medical Group PLLC | Current | Accepting new patients | |
| Lumina Care Medical NJ LLC | Current | 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.
-
- Family Medicine Physician
- Miami, FL
- NPI 1669276689
AL, DE, ME, NH, NY, OH, TX, WA
-
- Emergency Medicine Physician
- New York, NY
- NPI 1700558798
AL, DE, FL, ME, NH, OH, TX, WA
-
- Behavioral Neurology & Neuropsychiatry Physician
- New York, NY
- NPI 1114894540
AL, DE, FL, ME, NH, NJ, OH, WA
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Southern Ocean Center
- Skilled Nursing Facility
- Manahawkin, NJ
- NPI 1366626665
Nursing home
-
dba Ridgewood Center
- Skilled Nursing Facility
- Bedford, NH
- NPI 1528240355
Nursing home
-
dba Keene Center
- Skilled Nursing Facility
- Keene, NH
- NPI 1457533275
Nursing home
-
dba Exeter on Hampton Care and Rehabilitation Center
- Skilled Nursing Facility
- Exeter, NH
- NPI 1336196963
Nursing home
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.