Active NPI
Megan Jolin
- Pediatric Nurse Practitioner
- Hackensack, NJ
National Provider Identifier
1932379427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 26NJ00111900
- Practice address
- 30 Prospect Ave
Hackensack, NJ 07601-1915 - Phone
- (551) 996-5430
- NPI assigned
- Mar 11, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 26NJ00111900 | NJ | Primary |
Addresses
Primary practice location
30 Prospect Ave
Hackensack, NJ 07601-1915
Mailing address
40 Valley Rd
Glen Rock, NJ 07452-1712
Phone (201) 962-2392
Other practice location 1
690 Kinderkamack Rd Ste 102
Oradell, NJ 07649-1524
Phone (201) 634-1600
Other practice location 2
562 Kingsland St
Nutley, NJ 07110-1069
Phone (973) 235-0101
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Primary Care PC | Current | Accepting new patients | |
| Whole Child Center, LLC | Past | Accepting new patients | |
| Meridian Medical Group - Specialty Care, PC | Past | Accepting new patients |
Locations
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
300 Perrine Rd
Ste 324
Old Bridge, NJ 08857
Phone (732) 753-9890
Interoperability endpoints
- megan.jolin@direct.hackensackmeridian.org
- https://mepic.hmhn.org/fhir/api/FHIR/R4/
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Red Bank, NJ
- NPI 1336203538
-
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
-
- Family Medicine Physician
- Edgewater, NJ
- NPI 1275362105
-
- Pediatrics Physician
- Oradell, NJ
- NPI 1639332885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600732800000",
"number": "1932379427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 VALLEY RD",
"city": "GLEN ROCK",
"state": "NJ",
"postal_code": "074521712",
"telephone_number": "201-962-2392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 PROSPECT AVE",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011915",
"telephone_number": "551-996-5430"
}
],
"practiceLocations": [
{
"address_1": "690 Kinderkamack Rd Ste 102",
"address_purpose": "LOCATION",
"city": "Oradell",
"state": "NJ",
"postal_code": "076491524",
"country_code": "US",
"telephone_number": "201-634-1600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "562 Kingsland St",
"address_purpose": "LOCATION",
"city": "Nutley",
"state": "NJ",
"postal_code": "071101069",
"country_code": "US",
"telephone_number": "973-235-0101",
"fax_number": "973-667-5716",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOLIN",
"first_name": "MEGAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-11",
"last_updated": "2020-09-22",
"certification_date": "2020-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NJ",
"license": "26NJ00111900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.