Individual provider Active NPI

Priya Malini, NP

  • Primary Care Nurse Practitioner
  • North Brunswick, NJ
National Provider Identifier
1689380255
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
26NJ15081400 Issued in NJ
Practice address
1585 Miriam Dr
North Brunswick, NJ 08902-3019
Phone
(516) 661-9017
NPI assigned
Jan 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26NR20819700 NJ
Primary Care Nurse Practitioner 363LP2300X 26NJ15081400 NJ Primary

Addresses

Primary practice location

1585 Miriam Dr
North Brunswick, NJ 08902-3019

Mailing address

1585 Miriam Dr
North Brunswick, NJ 08902-3019
Phone (516) 661-9017

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
I20250702000133 NJ Practitioner - Nurse Practitioner 1951814979 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ15081400NJMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cov Clinic NJ LLC CurrentSince Apr 25, 2025 Accepting new patients

Locations

67 Apple St
Tinton Falls, NJ 07724
Phone (732) 314-7410

Organizations & group practices 1

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": "1674691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1689380255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 MIRIAM DR",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089023019",
            "telephone_number": "516-661-9017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 MIRIAM DR",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089023019",
            "telephone_number": "516-661-9017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALINI",
        "first_name": "PRIYA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-26",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR20819700",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ15081400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.