Michelle Rivera Dejesus, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ00460700 Issued in NJ

Practice address

887 Kinderkamack Rd Ste 2
River Edge, NJ 07661-2307

Phone

(201) 464-0860

Fax

(888) 440-2752

NPI assigned

Dec 11, 2013

Last updated

Jun 22, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Michelle Dajay Rivera Former name

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

Specialty

Nurse Practitioner

Education

Rutgers School of Dental Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Evergreen Medical Group PCGroup PAC ID 2769929082, 13 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.89 of 100Reported as group

Quality

99.16

Improvement activities

40

Cost

72.16

Merit-based Incentive Payment System (MIPS)

Final score

95.05 of 100Reported as apm

Quality

85.71

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23990/brand/1/csg/1/fhir/r4
• Direct secure messaging: michelle.dejesus.1@23990.direct.athenahealth.com

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.

• Allhealthmedicalgroup Com PC

  • Internal Medicine Physician
  • Hackensack, NJ
  • NPI 1497408991
  Medicare reassignment NPD
• Valley Physician Services PC

  • Internal Medicine Physician
  • Paramus, NJ
  • NPI 1467815928
  Medicare reassignment NPD
• Evergreen Medical Group PC

  • Physical Medicine & Rehabilitation Physician
  • River Edge, NJ
  • NPI 1295516409

  Family

  Care Compare group NPD
• American Treatment Network LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Havertown, PA
  • NPI 1871182451
  NPD

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1891126173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "887 KINDERKAMACK RD STE 2",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076612307",
            "telephone_number": "201-464-0860",
            "fax_number": "888-440-2752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "887 KINDERKAMACK RD STE 2",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076612307",
            "telephone_number": "201-464-0860",
            "fax_number": "888-440-2752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31-00 Broadway",
            "address_purpose": "LOCATION",
            "city": "Fair Lawn",
            "state": "NJ",
            "postal_code": "074103963",
            "country_code": "US",
            "telephone_number": "201-791-7771",
            "fax_number": "201-350-8614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEJESUS",
        "first_name": "MICHELLE",
        "middle_name": "RIVERA",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-11",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00460700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "RIVERA",
            "middle_name": "DAJAY",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Silvia Daici, MD
• Dan Dolce MSW
• Dan Landmann MD LLC
• Sheli Dansky, PT
• Deedles, LLC
• Dennis T.Natoli M.D.P.a.
• Alexandria Devito
• Damian Joseph Dilauri, RPH
• Shira Deborah Donath, PSY.D.
• Sharon Doni

• Family Nurse Practitioner in River Edge, NJ
• Providers in River Edge, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.

Verify at the official NPI Registry.