Individual provider Active NPI

Anetta Remelski

  • Gerontology Nurse Practitioner
  • Hackensack, NJ
National Provider Identifier
1861162448
Registry record updated Dec 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26NJ01192600 Issued in NJ
Practice address
357 Prospect Ave
Hackensack, NJ 07601-2519
Phone
(551) 309-3555
NPI assigned
Sep 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 26NJ01192600 NJ Primary

Addresses

Primary practice location

357 Prospect Ave
Hackensack, NJ 07601-2519

Mailing address

255 W Spring Valley Ave
Ste 102
Maywood, NJ 07607-1444
Phone (551) 309-3555

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
I20220506000159 NJ Practitioner - Nurse Practitioner 4981081296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allhealthmedicalgroup Com PCGroup PAC ID 1456746692, 28 clinicians

Practice addresses (Care Compare)

240 Park Ave
Rutherford, NJ 07070-2323
Phone (551) 309-3555

357 Prospect Ave
Hackensack, NJ 07601-2519
Phone (551) 309-3555

Merit-based Incentive Payment System (MIPS)

Final score
92.89 of 100Reported as group
Quality
99.16
Improvement activities
40
Cost
72.16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ01192600NJMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allhealthmedicalgroup Com PC CurrentSince Feb 1, 2022 Accepting new patients

Locations

700 E Palisade Ave
Ste 1
Englewood Cliffs, NJ 07632
Phone (201) 569-1800

700 E Palisade Ave
Englewood Cliffs, NJ 07632
Phone (201) 568-3412

357 Prospect Ave
Hackensack, NJ 07601
Phone (866) 567-3633

83 Summit Ave
Hackensack, NJ 07601
Phone (201) 646-0010

255 W Spring Valley Ave
Ste 102
Maywood, NJ 07607
Phone (201) 279-6340

610 Valley Health Plz
Paramus, NJ 07652
Phone (201) 797-2660

428 Union Ave
Paterson, NJ 07502
Phone (201) 489-3888

865 Teaneck Rd
Ste 1
Teaneck, NJ 07666

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23990/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639785600000",
    "number": "1861162448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W SPRING VALLEY AVE",
            "address_2": "STE 102",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071444",
            "telephone_number": "551-309-3555",
            "fax_number": "833-755-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 PROSPECT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012519",
            "telephone_number": "551-309-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMELSKI",
        "first_name": "ANETTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-12-18",
        "certification_date": "2021-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ01192600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.