Individual provider Active NPI

Myiella G. Adelantar, FNP-BC

  • Family Nurse Practitioner
  • Fort Lee, NJ
National Provider Identifier
1841906294
Registry record updated May 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01430000 Issued in NJ
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.

Hospital & facility affiliations 4

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

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 200 clinicians

Practice addresses (Care Compare)

718 Teaneck Rd
Teaneck, NJ 07666-4245
Phone (201) 227-6050

Hospital & facility affiliations

  • Holy Name Medical Center Hospital, Teaneck, NJ, CCN 310008
  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
26NJ01430000NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Excelcare Medical Associates, PA CurrentSince Jun 1, 2024 Accepting new patients
Bridgecare Provider Group LLC CurrentSince Jan 1, 2023 Accepting new patients
Careconnectmd New Jersey PC CurrentSince Jan 1, 2025 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)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01430000 NJ Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.