Individual provider Active NPI

Michele Musacchio-Acito, NP

  • Adult Health Nurse Practitioner
  • Midland Park, NJ
National Provider Identifier
1770971996
Registry record updated Dec 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00538100 Issued in NJ
Practice address
127 Highland Ave
Midland Park, NJ 07432-1936
Phone
(201) 566-6764
NPI assigned
Dec 23, 2014
Last updated
Dec 23, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2014

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 26NJ00538100 NJ Primary

Addresses

Primary practice location

127 Highland Ave
Midland Park, NJ 07432-1936

Mailing address

127 Highland Ave
Midland Park, NJ 07432-1936
Phone (201) 566-6764

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
I20150505001045 NJ Practitioner - Nurse Practitioner 2163741638 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Excelcare Medical Associates, PA CurrentSince Apr 1, 2015 Accepting new patients
Holy Name Medical Center Inc. PastSince Apr 30, 2024 Accepting new patients

Locations

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Holy Name Home CareTeaneck, NJ, CCN 317077 Home health agency Corporate Officer
W-2 Managing Employee
Apr 30, 2024
Apr 30, 2024
Holy Name Medical Center IncTeaneck, NJ, CCN 311547 Hospice W-2 Managing Employee Mar 3, 2022

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1419292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419292800000",
    "number": "1770971996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 HIGHLAND AVE",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321936",
            "telephone_number": "201-566-6764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 HIGHLAND AVE",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321936",
            "telephone_number": "201-566-6764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSACCHIO-ACITO",
        "first_name": "MICHELE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-23",
        "last_updated": "2014-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00538100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland Park, NJ

Sources for this page

Verify at the official NPI Registry.