Individual provider Active NPI

Melissa A. Buddha, WHNP

  • Women's Health Nurse Practitioner
  • Hackensack, NJ
National Provider Identifier
1699988501
Registry record updated Jan 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
26NJ00160700 Issued in NJ
Practice address
58 Summit Ave
Hackensack, NJ 07601-1263
Phone
(201) 489-2255
Fax
(201) 489-4799
NPI assigned
May 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X F420736-1 NY
Women's Health Nurse Practitioner 363LW0102X 26NJ00160700 NJ Primary

Addresses

Primary practice location

58 Summit Ave
Hackensack, NJ 07601-1263

Mailing address

99 Kline St
Harrington Park, NJ 07640-1327
Phone (201) 767-7707

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
I20090115000336 NJ Practitioner - Nurse Practitioner 3274696331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Physician Services PCGroup PAC ID 3577857333, 593 clinicians

Practice addresses (Care Compare)

108 Jackson St
Apt 6B
Hoboken, NJ 07030-6101
Phone (800) 825-5391

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.05 of 100Reported as apm
Quality
85.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00160700NJMDWomen's Health Nurse Practitioner
F420736-1NYMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Physician Services PC CurrentSince Oct 1, 2016 Accepting new patients

Locations

58 Summit Ave
Hackensack, NJ 07601
Phone (201) 489-2255

95 N State Rt 17
Ste 105
Paramus, NJ 07652
Phone (201) 612-4735

1 Valley Health Plz
Paramus, NJ 07652
Phone (201) 634-5353

140 E Ridgewood Ave
Ste 320N
Paramus, NJ 07652

223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417

1124 E Ridgewood Ave
Ste 105
Ridgewood, NJ 07450
Phone (201) 444-5353

Interoperability endpoints

  • Direct secure messaging: melissa.buddha.3@5622.direct.athenahealth.com

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233273600000",
    "number": "1699988501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 KLINE ST",
            "city": "HARRINGTON PARK",
            "state": "NJ",
            "postal_code": "076401327",
            "telephone_number": "201-767-7707",
            "fax_number": "201-767-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 SUMMIT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011263",
            "telephone_number": "201-489-2255",
            "fax_number": "201-489-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDDHA",
        "first_name": "MELISSA",
        "middle_name": "A.",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2009-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "F420736-1",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NJ",
            "license": "26NJ00160700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.