Active NPI
Melissa Elizabeth Maniscalco, DNP, FNP-BC
- Family Nurse Practitioner
- Newark, NJ
National Provider Identifier
1669987350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 342420
- Practice address
- 201 Lyons Ave
Newark, NJ 07112-2027 - Phone
- (973) 926-7772
- NPI assigned
- Dec 5, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 26NJ00791000 | NJ | |
| Nurse Practitioner | 363L00000X | 26NO12001900 | NJ | |
| Family Nurse Practitioner | 363LF0000X | 342420 | NY | Primary |
Addresses
Primary practice location
201 Lyons Ave
Newark, NJ 07112-2027
Mailing address
336 Dogwood Dr
Union, NJ 07083-7817
Phone (908) 851-8669
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NO12001900 | NJ | MD | Nurse Practitioner |
| 342420 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HMH Hospitals Corporation | Current | Accepting new patients | |
| Community Hospital Group Inc | Current | Accepting new patients | |
| HMH Hospitals Corporation | Current | Accepting new patients | |
| Community Hospital Group, Inc | Current | Accepting new patients | |
| Nbimc Department of Cardio-Thoracic | Current | Accepting new patients | |
| Community Hospital Group, Inc. | Current | Accepting new patients | |
| Robert Wood Johnson Medical Associates | Past | Accepting new patients | |
| Community Hospital Group, Inc | Past | Accepting new patients |
Locations
65 James St
Lot G
Edison, NJ 08820
Phone (732) 321-7487
65 James St
Edison, NJ 08820
Phone (732) 321-7010
201 Lyons Ave
#L5
Newark, NJ 07112
Phone (973) 926-7161
201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455
Organizations & group practices 8
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.
-
- Specialist
- Edison, NJ
- NPI 1225251754
-
- Family Medicine Physician
- Edison, NJ
- NPI 1356016661
-
- Family Medicine Physician
- Edison, NJ
- NPI 1316167141
-
- Neurology Physician
- Edison, NJ
- NPI 1487680013
-
- Clinic Pharmacy
- Hackensack, NJ
- NPI 1659139376
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Newark, NJ
- NPI 1538127204
-
- Specialist
- Edison, NJ
- NPI 1427278258
-
- Hospitalist Physician
- New Brunswick, NJ
- NPI 1902848625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632268800000",
"number": "1669987350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "336 DOGWOOD DR",
"city": "UNION",
"state": "NJ",
"postal_code": "070837817",
"telephone_number": "908-851-8669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 LYONS AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071122027",
"telephone_number": "973-926-7772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANISCALCO",
"first_name": "MELISSA",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "DNP, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-05",
"last_updated": "2021-09-22",
"certification_date": "2021-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "26NJ00791000",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "26NO12001900",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "342420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.