Denisse Mejia, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00359900 Issued in NJ

Practice address

1150 Dickinson St
Elizabeth, NJ 07201-2210

Phone

(908) 354-8900

Fax

(908) 354-0007

NPI assigned

Mar 16, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Hudson MD GroupGroup PAC ID 6103240478, 110 clinicians

Garden State Cardiovascular Specialists PCGroup PAC ID 8527053511, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Garden State Cardiovascular Specialists P.C

  • Cardiovascular Disease Physician
  • Elizabeth, NJ
  • NPI 1225059660
  Medicare reassignment Care Compare group
• Hudson MD Group

  • Family Medicine Physician
  • Englewood Cliffs, NJ
  • NPI 1497301998
  Medicare reassignment Care Compare group
• David W. Lee MD PA

  • Adult Medicine Physician
  • Fort Lee, NJ
  • NPI 1932394079
  NPD (past)
• NJ Urgentcare

  • Urgent Care Clinic/Center
  • Elizabeth, NJ
  • NPI 1790381572
  NPD (past)

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

{
    "created_epoch": "1426464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1972996833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 DICKINSON ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072012210",
            "telephone_number": "908-354-8900",
            "fax_number": "908-354-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 DICKINSON ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072012210",
            "telephone_number": "908-354-8900",
            "fax_number": "908-354-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEJIA",
        "first_name": "DENISSE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-16",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00359900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Medina, LPN
• Angel Medrano
• Kinjal J Mehta, DMD
• Poonit V Mehta, DPM
• Mejia Pediatrics LLC
• Francisco P Mejia, PHARMACIST
• Erenio Mejias, M.D.
• Stephen Mejias, LSW
• Adelaide Melendez
• Dana Melici, LSW

• Physician Assistant in Elizabeth, NJ
• Providers in Elizabeth, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.
• 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.