Individual provider Active NPI

Mary Ellen Elizabeth Roberts, RN, MSN, APNC

  • Adult Health Nurse Practitioner
  • Belleville, NJ
National Provider Identifier
1619915428
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NN067758 Issued in NJ
Practice address
36 Newark Ave
Suite 300
Belleville, NJ 07109-4119
Phone
(973) 751-7322
Fax
(973) 759-3702
NPI assigned
Jun 3, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NN067758 NJ Primary

Addresses

Primary practice location

36 Newark Ave
Suite 300
Belleville, NJ 07109-4119

Mailing address

10 Meadowbrook Rd
Short Hills, NJ 07078-3316
Phone (973) 751-7322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NN067758NJMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1619915428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MEADOWBROOK RD",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070783316",
            "telephone_number": "973-751-7322",
            "fax_number": "973-759-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 NEWARK AVE",
            "address_2": "SUITE 300",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071094119",
            "telephone_number": "973-751-7322",
            "fax_number": "973-759-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "MARY ELLEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "RN, MSN, APNC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NN067758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.