Individual provider Active NPI

Melissa N Pagan, DNP

  • Nurse Practitioner
  • Jersey City, NJ
National Provider Identifier
1568081461
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ01027500 Issued in NJ
Practice address
100 Town Square PL Ste 630
Jersey City, NJ 07310-2778
Phone
(973) 685-5809
NPI assigned
Apr 10, 2020
Last updated
Jan 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ01027500 NJ Primary

Addresses

Primary practice location

100 Town Square PL Ste 630
Jersey City, NJ 07310-2778

Mailing address

100 Town Square PL Ste 630
Jersey City, NJ 07310-2778
Phone (973) 685-5809

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20240506000310 NJ Practitioner - Nurse Practitioner 1759766223 Reassigns benefits to 1 organization
I20240528003124 NY Practitioner - Nurse Practitioner 1759766223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26NJ01027500NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Visavis Health Care Medical Group of NJ LLC CurrentSince Mar 23, 2024 Accepting new patients
Everside Health, LLC PastSince Jul 2, 2023 Accepting new patients
Everside Health, LLC Past Accepting new patients

Locations

831 Bedford Ave
Brooklyn, NY 11205

Interoperability endpoints

  • Direct secure messaging: melissa.pagan.1@14940.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1568081461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 TOWN SQUARE PL STE 630",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073102778",
            "telephone_number": "973-685-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TOWN SQUARE PL STE 630",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073102778",
            "telephone_number": "973-685-5809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGAN",
        "first_name": "MELISSA",
        "middle_name": "N",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-10",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ01027500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.