NPIMap

Individual provider Active NPI

Melissa A. Johnson, CRNP

  • Family Nurse Practitioner
  • Brick, NJ
National Provider Identifier
1528523867
Registry record updated Feb 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00874300 Issued in NJ
Practice address
190 Jack Martin Blvd BLDG B3
Brick, NJ 08724-7728
Phone
(732) 774-4554
NPI assigned
Jan 31, 2019
Last updated
Feb 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00874300 NJ Primary

Addresses

Primary practice location

190 Jack Martin Blvd BLDG B3
Brick, NJ 08724-7728

Mailing address

190 Jack Martin Blvd
Brick, NJ 08724-7728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190716002937 NJ Practitioner - Nurse Practitioner 1658606439 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Monmouth-Ocean Neurology PCGroup PAC ID 0143112599, 8 clinicians

Practice addresses (Care Compare)

1944 Corlies Ave
Suite 206
Neptune, NJ 07753-5197
Phone (732) 774-8282

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Health Initiatives Inc Current Accepting new patients
Ocean Health Initiatives, Inc CurrentSince Jun 1, 2023 Accepting new patients
Monmouth-Ocean Neurology PC CurrentSince Jun 27, 2019 Accepting new patients
Ocean Health Initiatives,Inc CurrentSince Jun 1, 2023 Accepting new patients
Neurophysiology Labs PastSince Jun 27, 2019 Accepting new patients

Locations

190 Jack Martin Blvd
Bldg B3
Brick, NJ 08724
Phone (732) 774-4554

101 2nd St
Lakewood, NJ 08701
Phone (732) 886-4809

1944 State Route 33
Ste 206
Neptune, NJ 07753

1944 Corlies Ave
Ste 206
Neptune City, NJ 07753
Phone (732) 774-8282

Interoperability endpoints

  • Direct secure messaging: melissa.johnson.1@11915.direct.athenahealth.com

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 8

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": "1548892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1528523867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 JACK MARTIN BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 JACK MARTIN BLVD BLDG B3",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247728",
            "telephone_number": "732-774-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MELISSA",
        "middle_name": "A.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00874300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.