Active NPIIndividual providerSole proprietor

Ms. Melissa Denniston, APN -FAMILY PRACTICE

Nurse Practitioner in Montclair, New Jersey

NPI Number1083449995
Practice location
18-20 Lackawanna Plz Ste 300, Montclair, NJ 07042-3642
Fax
973-869-2532
Last updated
May 13, 2026

Melissa Denniston is a Nurse Practitioner based in Montclair, NJ. Melissa Denniston practices in Montclair, NJ and has the professional credentials of APN -FAMILY PRACTICE. The NPI Number for Melissa Denniston is 1083449995 and holds a License No. 26NJ15130800 (NJ). The current practice location address for Melissa Denniston is 18-20 Lackawanna Plz Ste 300, Montclair, NJ 07042-3642 and can be reached out via phone at 347-209-0881 and via fax at 973-869-2532.

Provider Profile Details

NPI Number
1083449995
Provider Name
Melissa Denniston
Credential
APN -FAMILY PRACTICE
Provider Entity Type
Individual
Gender
Female
Address
18-20 Lackawanna Plz Ste 300, Montclair, NJ 07042-3642
Phone Number
347-209-0881
Fax Number
973-869-2532
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 3, 2024
Last Update Date
May 13, 2026
Certification Date
May 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
18-20 Lackawanna Plz Ste 300
Montclair, NJ 07042-3642
Zip
07042-3642
Phone Number
347-209-0881
Fax Number
973-869-2532
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
42 Sunnyside Ter
East Orange, NJ 07018-2394
City
East Orange
State
NJ
Zip
07018-2394
Phone Number
973-392-2058

License Information

License Number
26NJ15130800
License State
NJ
Taxonomy
Nurse Practitioner · 363L00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Melissa Denniston, APN -FAMILY PRACTICE?

The NPI number of Ms. Melissa Denniston, APN -FAMILY PRACTICE is 1083449995. It was assigned on September 3, 2024 and is currently active in the NPPES registry.

What is the specialty of Ms. Melissa Denniston, APN -FAMILY PRACTICE?

Ms. Melissa Denniston, APN -FAMILY PRACTICE is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in NJ under license number 26NJ15130800.

Where does Ms. Melissa Denniston, APN -FAMILY PRACTICE practice?

The practice location is 18-20 Lackawanna Plz Ste 300, Montclair, NJ 07042-3642. The office can be reached at 347-209-0881 (phone) or 973-869-2532 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083449995 directly on the NPPES registry website.

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