Active NPI
Myiella G. Adelantar, FNP-BC
- Family Nurse Practitioner
- Fort Lee, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ01430000
- Practice address
- 173 Bridge PLZ N
Fort Lee, NJ 07024-7575 - Phone
- (551) 315-3945
- NPI assigned
- Jan 30, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
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.
-
- General Practice Physician
- Roseland, NJ
- NPI 1417638990
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Teaneck, NJ
- NPI 1043389349
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Excelcare Medical Associates PA
Practice addresses (Care Compare)
718 Teaneck Rd
Teaneck, NJ 07666-4245
Phone (201) 227-6050
Hospital & facility affiliations
- Holy Name Medical Center
- Hackensack University Medical Center
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230422000137 | NJ | Practitioner - Nurse Practitioner | 4183089303 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ01430000 | NJ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excelcare Medical Associates, PA | Current | Accepting new patients | |
| Bridgecare Provider Group LLC | Current | Accepting new patients | |
| Careconnectmd New Jersey PC | Current | Accepting new patients |
Locations
3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182
173 Bridge Plz N
Fort Lee, NJ 07024
Phone (201) 468-2065
1 W Ridgewood Ave
Ste 203
Paramus, NJ 07652
Phone (201) 312-5243
101 Eisenhower Pkwy
Ste 300
Roseland, NJ 07068
Phone (201) 520-7221
718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ01430000 | NJ | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
173 Bridge PLZ N
Fort Lee, NJ 07024-7575
Mailing address
10 Madison Ave Apt 203
Cresskill, NJ 07626-2067
Phone (201) 936-2182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 18, 2024.
{
"created_epoch": "1675036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715990400000",
"number": "1841906294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 MADISON AVE APT 203",
"city": "CRESSKILL",
"state": "NJ",
"postal_code": "076262067",
"telephone_number": "201-936-2182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "173 BRIDGE PLZ N",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070247575",
"telephone_number": "551-315-3945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADELANTAR",
"first_name": "MYIELLA",
"middle_name": "G.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-30",
"last_updated": "2024-05-18",
"certification_date": "2024-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ01430000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lee, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.