MELISSA CARDINAL


Address: 36 Valley Road, 529, Montclair, NJ 07042
Phone: 9736703560

MELISSA CARDINAL (NPI# 1144678889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144678889
Entity Type Individual
Full Name MELISSA CARDINAL
Credential PMHNP-BC
Practice Address 36 Valley Road
529
Montclair
NJ 07042
Mailing Address 36 Valley Rd
#529
Montclair
NJ 07042-2873
Practice Telephone 9736703560
Mailing Telephone 9736703560
Enumeration Date 2016-06-02
Last Update Date 2016-08-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
26NJ00655200 NJ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 36 VALLEY ROAD
529
City MONTCLAIR
State NJ
Zip Code 07042

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1457991986 Christopher Hannon Nurse Practitioner 16 Seymour St Apt 2, Montclair, NJ 07042-3356 2020-01-13
1669498846 Kathleen Mary Prendergast Nurse Practitioner 60 S Fullerton Ave Ste 210, Montclair, NJ 07042-2663 2006-07-14
1003473646 Recovery & Wellness Center, LLC. Nurse Practitioner 218 Lorraine Ave, Montclair, NJ 07043-1915 2019-05-20
1649703299 Linda Winful Nurse Practitioner 51 Cedar Ave, Montclair, NJ 07042-2446 2017-04-10
1548616840 Absolutely Driven Mental Health Provider LLC Nurse Practitioner 100 Valley Rd, Suite1, Montclair, NJ 07042-2200 2016-05-05

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NPI Name Taxonomy Address Enumeration
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1841804960 Claudette L Blake Nurse Practitioner 890 Terrill Rd, Plainfield, NJ 07062-2250 2020-09-04
1982217873 Ifeoma E Iherobiem Nurse Practitioner 884 S Springfield Ave Apt 18, Springfield, NJ 07081-3320 2020-08-28
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Competitor

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City MONTCLAIR
Zip Code 07042

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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