Individual provider Active NPI

Justin Sion Salandanan, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Lyndhurst, NJ
National Provider Identifier
1881147874
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00648400 Issued in NJ
Practice address
516 Valley Brook Ave
Lyndhurst, NJ 07071-1930
Phone
(201) 935-3322
NPI assigned
Jul 26, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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 26NJ00648400 NJ Primary

Addresses

Primary practice location

516 Valley Brook Ave
Lyndhurst, NJ 07071-1930

Mailing address

516 Valley Brook Ave
Lyndhurst, NJ 07071-1930
Phone (201) 935-3322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170321000273 NJ Practitioner - Nurse Practitioner 3476838186 Reassigns benefits to 1 organization
Practice locations: Jersey City, NJ
I20250718004014 HI Practitioner - Nurse Practitioner 3476838186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Comprehensive Behavioral Healthcare, Inc.Group PAC ID 4486640653, 23 clinicians

Practice addresses (Care Compare)

Jersey City, NJ 07302
Phone (201) 305-0456

516 Valley Brook Ave
Lyndhurst, NJ 07071-1930

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Behavioral Healthcare, Inc. CurrentSince Jan 9, 2017 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jun 11, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

500 Ala Moana Blvd
Ste 7400
Honolulu, HI 96813
Phone (617) 823-6490

516 Valley Brook Ave
Lyndhurst, NJ 07071
Phone (201) 935-3322

Organizations & group practices 2

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": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484697600000",
    "number": "1881147874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 VALLEY BROOK AVE",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711930",
            "telephone_number": "201-935-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 VALLEY BROOK AVE",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711930",
            "telephone_number": "201-935-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALANDANAN",
        "first_name": "JUSTIN",
        "middle_name": "SION",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-26",
        "last_updated": "2017-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00648400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndhurst, NJ

Sources for this page

Verify at the official NPI Registry.