Individual provider Active NPI

Minela Avdic

  • Psychiatric/Mental Health Nurse Practitioner
  • Paramus, NJ
National Provider Identifier
1902542178
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95028910 Issued in CA
Practice address
300 Forest Ave
Paramus, NJ 07652-5429
Phone
(201) 490-5158
NPI assigned
May 10, 2022
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95028910 CA Primary
Psychiatry Physician 2084P0800X 26NJ01300400 NJ

Addresses

Primary practice location

300 Forest Ave
Paramus, NJ 07652-5429

Mailing address

300 Forest Ave
Paramus, NJ 07652-5429
Phone (201) 490-5158

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, WA, CA, DC, MA5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20220803000027 NJ Practitioner - Nurse Practitioner 1355723610 Reassigns benefits to 1 organization
I20221128000863 WA Practitioner - Nurse Practitioner 1355723610 Reassigns benefits to 1 organization
I20260312001871 CA Practitioner - Nurse Practitioner 1355723610 Reassigns benefits to 1 organization
I20260501000115 DC Practitioner - Nurse Practitioner 1355723610
I20260519000339 MA Practitioner - Nurse Practitioner 1355723610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hamilton Behavioral MD PAGroup PAC ID 8426294216, 31 clinicians

Practice addresses (Care Compare)

300 Forest Ave
A
Paramus, NJ 07652-5429
Phone (201) 490-5158

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95028910CAMDAddiction Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Teletherapeutics Health Inc CurrentSince Sep 10, 2022 Accepting new patients
Hamilton Behavioral MD PA CurrentSince May 1, 2022 Accepting new patients
Hamilton Behavioral Health CurrentSince Sep 16, 2024 Accepting new patients
Teletherapeutics Health Ca Corp CurrentSince Dec 22, 2025 Accepting new patients
Metropolitan Endocrinology, LLC PastSince May 16, 2022 Accepting new patients

Locations

18520 Pioneer Blvd
Ste 205
Artesia, CA 90701

710 Rimpau Ave
Ste 102
Corona, CA 92879
Phone (213) 373-5523

26498 Baseline St
Ste A
Highland, CA 92346

300 Forest Ave
Paramus, NJ 07652
Phone (201) 259-1248

300 Forest Ave
#A
Paramus, NJ 07652
Phone (201) 490-5158

522 W Riverside Ave
Ste N
Spokane, WA 99201
Phone (509) 203-4653

Interoperability endpoints

  • Direct secure messaging: mavdic833331@ahs.direct-ci.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1902542178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 FOREST AVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076525429",
            "telephone_number": "201-490-5158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FOREST AVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076525429",
            "telephone_number": "201-490-5158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVDIC",
        "first_name": "MINELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-10",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95028910",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "26NJ01300400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.