Erica Addesa, NP
Individual provider Active NPI Pediatric Nurse Practitioner · Edison, NJ
NPI 1487276267 · NPPES record last updated Nov 28, 2022
Key facts
- NPI
- 1487276267
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- 26NJ01370000 (NJ)
- Practice address
- 65 James St
Edison, NJ 08820-3947 - Phone
- (201) 563-9388
- NPI assigned
- May 14, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221011001944 | NJ | Practitioner - Nurse Practitioner | 0143696443 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP021969 | PA | MD | Critical Care Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Middlesex Emergency Physicians, P.a. | Current |
Accepting new patients |
Locations
65 James St
Edison, NJ 08820
Phone (732) 321-7010
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 26NJ01370000 | NJ | |
| Critical Care Pediatric Nurse Practitioner | 363LP0222X | SP021969 | PA | |
| Pediatric Nurse Practitioner | 363LP0200X | 26NJ01370000 | NJ | Yes |
Addresses
Primary practice location
65 James St
Edison, NJ 08820-3947
Mailing address
39 Cedar Ter
Parlin, NJ 08859-1147
Phone (201) 563-9388
Other practice location 1
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Phone (201) 563-9388
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All providers in Edison, NJ · Pediatric Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.