Individual provider Active NPI

Jennifer Judith Castaneda-Ardizzone, PMHNP DNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Rochelle Park, NJ
National Provider Identifier
1659199065
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ15122900 Issued in NJ
Practice address
151 W Passaic St
Rochelle Park, NJ 07662-3105
Phone
(908) 516-0787
Fax
(800) 811-2507
NPI assigned
Oct 3, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ15122900 NJ Primary

Addresses

Primary practice location

151 W Passaic St
Rochelle Park, NJ 07662-3105

Mailing address

151 W Passaic St
Rochelle Park, NJ 07662-3105
Phone (908) 516-0787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20241108000468 NJ Practitioner - Nurse Practitioner 6901330364 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evergreen Medical Group PCGroup PAC ID 2769929082, 13 clinicians

Practice addresses (Care Compare)

887 Kinderkamack Rd
Suite 2
River Edge, NJ 07661-2307
Phone (201) 791-7771

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ15122900NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers Health - Behavioral Health CurrentSince Dec 16, 2024 Accepting new patients
Evergreen Medical Group PC Psychiatric/Mental Health CurrentSince Oct 1, 2024 Accepting new patients
Rutgers Health - Behavioral Health Current Accepting new patients

Locations

31-00 Broadway
Fair Lawn, NJ 07410
Phone (201) 791-7771

183 S Orange Ave
Newark, NJ 07103
Phone (973) 972-0004

671 Hoes Ln W
Rm D3381
Piscataway, NJ 08854
Phone (732) 235-3289

887 Kinderkamack Rd
Ste 2
River Edge, NJ 07661
Phone (201) 464-0860

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1659199065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 W PASSAIC ST",
            "city": "ROCHELLE PARK",
            "state": "NJ",
            "postal_code": "076623105",
            "telephone_number": "908-516-0787",
            "fax_number": "800-811-2507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 W PASSAIC ST",
            "city": "ROCHELLE PARK",
            "state": "NJ",
            "postal_code": "076623105",
            "telephone_number": "908-516-0787",
            "fax_number": "800-811-2507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTANEDA-ARDIZZONE",
        "first_name": "JENNIFER",
        "middle_name": "JUDITH",
        "name_prefix": "Dr.",
        "credential": "PMHNP DNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-03",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15122900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochelle Park, NJ

Sources for this page

Verify at the official NPI Registry.