Individual provider Active NPI

Melanie Denardo, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Red Bank, NJ
National Provider Identifier
1780455444
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ14985700 Issued in NJ
Practice address
211 Broad St Ste 207
Red Bank, NJ 07701-2009
Phone
(732) 576-3727
Fax
(630) 487-2411
NPI assigned
Jan 11, 2024
Last updated
Sep 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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 26NJ14985700 NJ Primary

Addresses

Primary practice location

211 Broad St Ste 207
Red Bank, NJ 07701-2009

Mailing address

29 Northwoods Rd
Ocean, NJ 07712-2513

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
I20240307002945 NJ Practitioner - Nurse Practitioner 3577909985 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stress Care of New Jersey, LLC CurrentSince Feb 19, 2024 Accepting new patients
The TMS Center of New Jersey PC CurrentSince May 1, 2024 Accepting new patients
TMS Clinical Services of New Jersey LLC CurrentSince Aug 20, 2024 Accepting new patients
Stress Care of New Jersey, LLC CurrentSince Feb 19, 2024 Accepting new patients

Locations

1100 Jorie Blvd
Ste 300
Oak Brook, IL 60523
Phone (224) 900-7867

4122 Route 516
Matawan, NJ 07747
Phone (732) 679-4500

211 Broad St
Ste 207
Red Bank, NJ 07701
Phone (732) 576-3727

61 Veronica Ave
Somerset, NJ 08873
Phone (732) 679-4500

55 N Gilbert St
Ste 2203
Tinton Falls, NJ 07701
Phone (732) 740-7675

161 Washington Valley Rd
Ste 207
Warren, NJ 07059
Phone (908) 378-8878

Organizations & group practices 4

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": "1704931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1780455444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 NORTHWOODS RD",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077122513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 BROAD ST STE 207",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012009",
            "telephone_number": "732-576-3727",
            "fax_number": "630-487-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENARDO",
        "first_name": "MELANIE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ14985700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

Verify at the official NPI Registry.