Active NPI
Melinated Moms, LLC
- Case Management Agency
- Patterson, NJ
National Provider Identifier
1932845989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- MELINATED MOMS, LLC
- Practice address
- 470 Chamberlin Ave Suite 11
Patterson, NJ 07522 - Phone
- (908) 858-2820
- NPI assigned
- May 11, 2022
- Last updated
- May 1, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jatesha Portia-Arlee Madden-Wilson, LPN
- Title
- Ceo/Executive Director
- Phone
- (716) 984-9672
Specialties & licenses 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | NU | Primary | |
| Community Health Clinic/Center | 261QC1500X | NU | ||
| Non-Surgical Family Planning Clinic/Center | 261QF0050X | NU | ||
| Health Service Clinic/Center | 261QH0100X | NU | ||
| Multi-Specialty Clinic/Center | 261QM1300X | NU | ||
| Nurse Practitioner | 363L00000X | NU | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Contractor | 171W00000X | NU | ||
| Community Health Worker | 172V00000X | NU | ||
| In Home Supportive Care Agency | 253Z00000X | NU | ||
| Community/Behavioral Health Agency | 251S00000X | NU | ||
| Health Educator | 174H00000X | NU | ||
| Doula | 374J00000X | NU | ||
| Complex Family Planning Physician | 207VC0300X | NU |
Addresses
Primary practice location
470 Chamberlin Ave Suite 11
Patterson, NJ 07522
Mailing address
247 E Front St Ste 140
Trenton, NJ 08611-1717
Phone (908) 858-2820
Other practice location 1
1720 I St NW Ste 101
Washington, DC 20006-3704
Phone (098) 858-2820 ext. 49672
Other names 1
- Melinated Moms
National Provider Directory
National Provider DirectoryLocations
1720 I St NW
Ste 101
Washington, DC 20006
142 Lafayette St
3Rd SPC
Newark, NJ 07105
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Licensed Practical Nurse
- Newark, NJ
- NPI 1295069110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652227200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777593600000",
"number": "1932845989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "247 E FRONT ST STE 140",
"city": "TRENTON",
"state": "NJ",
"postal_code": "086111717",
"telephone_number": "908-858-2820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "470 CHAMBERLIN AVE SUITE 11",
"city": "PATTERSON",
"state": "NJ",
"postal_code": "07522",
"telephone_number": "908-858-2820"
}
],
"practiceLocations": [
{
"address_1": "1720 I St NW Ste 101",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200063704",
"country_code": "US",
"telephone_number": "098-858-2820 x49672",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MELINATED MOMS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-11",
"last_updated": "2026-05-01",
"certification_date": "2026-05-01",
"status": "A",
"authorized_official_last_name": "MADDEN-WILSON",
"authorized_official_first_name": "JATESHA",
"authorized_official_middle_name": "PORTIA-ARLEE",
"authorized_official_title_or_position": "CEO/EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "716-984-9672",
"authorized_official_credential": "LPN"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QF0050X",
"taxonomy_group": "",
"desc": "Clinic/Center, Family Planning, Non-Surgical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207VC0300X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Complex Family Planning",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Melinated Moms",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Patterson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.