Individual provider Active NPI

Emily Minerva, FNP

  • Family Nurse Practitioner
  • Montvale, NJ
National Provider Identifier
1780494732
Registry record updated Oct 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.031462 Issued in IL
Practice address
50 Chestnut Ridge Rd Ste 130
Montvale, NJ 07645-1841
Phone
(410) 357-1434
Fax
(845) 640-4008
NPI assigned
Jan 11, 2025
Last updated
Oct 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.031462 IL Primary

Addresses

Primary practice location

50 Chestnut Ridge Rd Ste 130
Montvale, NJ 07645-1841

Mailing address

50 Chestnut Ridge Rd Ste 130
Montvale, NJ 07645-1841
Phone (410) 357-1434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20250211003135 IL Practitioner - Nurse Practitioner 1951831585 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Physicians, S.C.Group PAC ID 6103879713, 11 clinicians

Practice addresses (Care Compare)

14330 S Will Cook Rd
Homer Glen, IL 60491-9211
Phone (708) 645-0288

16101 Weber Rd
Crest Hill, IL 60403-8812
Phone (815) 836-3799

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.031462ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Physicians, S.C. CurrentSince Aug 8, 2025 Accepting new patients
Radial Health SC CurrentSince Jan 21, 2025 Accepting new patients
Dialog Healthcare, LLC CurrentSince Dec 9, 2025 Accepting new patients
Chicago Medical Group, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Integrated Rehab Consultants LLC CurrentSince Jan 12, 2025 Accepting new patients
Integrated Rehab Consultants LLC CurrentSince Jan 12, 2025 Accepting new patients

Locations

3052 Weber Dr
Aurora, IL 60502
Phone (630) 898-9700

26895 Network Pl
Chicago, IL 60673

401 N Michigan Ave
Ste 1200
Chicago, IL 60611
Phone (224) 496-6940

4340 N Keystone Ave
Chicago, IL 60641
Phone (773) 545-8700

16101 Weber Rd
Crest Hill, IL 60403
Phone (815) 306-1100

1212 S 2nd St
DeKalb, IL 60115
Phone (815) 758-8151

2600 N Annie Glidden Rd
DeKalb, IL 60115
Phone (815) 758-2477

3298 Resource Pkwy
DeKalb, IL 60115
Phone (815) 748-7076

77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407

14330 S Will Cook Rd
Homer Glen, IL 60491
Phone (708) 645-0288

15255 S 94th Ave
Ste 500
Orland Park, IL 60462
Phone (708) 403-4055

50 Chestnut Ridge Rd
Ste 130
Montvale, NJ 07645
Phone (845) 213-3134

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/683/brand/4/csg/61/fhir/r4

Organizations & group practices 6

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": "1736553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792368000000",
    "number": "1780494732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 CHESTNUT RIDGE RD STE 130",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451841",
            "telephone_number": "410-357-1434",
            "fax_number": "845-640-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CHESTNUT RIDGE RD STE 130",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451841",
            "telephone_number": "410-357-1434",
            "fax_number": "845-640-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINERVA",
        "first_name": "EMILY",
        "name_prefix": "Dr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-11",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.031462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montvale, NJ

Sources for this page

Verify at the official NPI Registry.