Individual provider Active NPI

Melissa L Przemieniecki, APN

  • Family Nurse Practitioner
  • Hamilton, NJ
National Provider Identifier
1902275969
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00608600 Issued in NJ
Practice address
1700 Whitehorse Hamilton Square Rd Ste D1
Hamilton, NJ 08690-3540
Phone
(609) 584-6763
Fax
(609) 890-0265
NPI assigned
Sep 21, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00608600 NJ Primary

Addresses

Primary practice location

1700 Whitehorse Hamilton Square Rd Ste D1
Hamilton, NJ 08690-3540

Mailing address

One Hamilton Health Place
Hamilton, NJ 08690
Phone (609) 584-6763

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
I20160304000523 NJ Practitioner - Nurse Practitioner 1951607787 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Daniel S. Kessel MD PCGroup PAC ID 9931157484, 9 clinicians

Practice addresses (Care Compare)

1700 Whitehorse Hamilton Square Rd
Suite D1
Hamilton Square, NJ 08690-3540
Phone (609) 890-2600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00608600NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physician Associates of South Jersey P C CurrentSince Dec 1, 2015 Accepting new patients
Rwjbh Observation Associates LLC CurrentSince Nov 30, 2020 Accepting new patients
Daniel S. Kessel MD PC CurrentSince Aug 16, 2021 Accepting new patients
Rwjbh Emergency Medicine Associates, LLC Family CurrentSince Nov 30, 2020 Accepting new patients
Emergency Physician Services of New Jersey,Professional Association CurrentSince Jun 1, 2016 Accepting new patients

Locations

100 Townsend Ave
Berlin, NJ 08009
Phone (856) 322-3000

225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204

175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660

110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833

1700 Whitehorse Hamilton Square Rd
Ste D1
Trenton, NJ 08690
Phone (215) 813-3956

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

Organizations & group practices 5

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": "1442793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1902275969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE HAMILTON HEALTH PLACE",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "08690",
            "telephone_number": "609-584-6763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 WHITEHORSE HAMILTON SQUARE RD STE D1",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086903540",
            "telephone_number": "609-584-6763",
            "fax_number": "609-890-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRZEMIENIECKI",
        "first_name": "MELISSA",
        "middle_name": "L",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-21",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00608600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

Verify at the official NPI Registry.