Active NPIIndividual providerSole proprietor

Melissa Grudic, DNP, PMHNP-BC

Nurse Practitioner, Psych/Mental Health in Newark, New Jersey

NPI Number1417774456
Practice location
511 S Orange Ave # 2078, Newark, NJ 07103-1342
Fax
—
Last updated
February 26, 2025

Melissa Grudic is a Nurse Practitioner, Psych/Mental Health based in Newark, NJ. Melissa Grudic practices in Newark, NJ and has the professional credentials of DNP, PMHNP-BC. The NPI Number for Melissa Grudic is 1417774456 and holds a License No. 26NJ15154800 (NJ). The current practice location address for Melissa Grudic is 511 S Orange Ave # 2078, Newark, NJ 07103-1342 and can be reached out via phone at 973-755-2887.

Provider Profile Details

NPI Number
1417774456
Provider Name
Melissa Grudic
Credential
DNP, PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
511 S Orange Ave # 2078, Newark, NJ 07103-1342
Phone Number
973-755-2887
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Provider Enumeration Date
September 23, 2024
Last Update Date
February 26, 2025
Certification Date
February 26, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
511 S Orange Ave # 2078
Newark, NJ 07103-1342
City
Newark
Zip
07103-1342
Phone Number
973-755-2887
Newark, NJ 07103Get directions →

Provider Business Mailing Address Details

Address
165 Trimble Ave
Clifton, NJ 07011-1833
City
Clifton
State
NJ
Zip
07011-1833
Phone Number
609-201-8556

License Information

License Number
26NJ15154800
License State
NJ
Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · 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 Melissa Grudic, DNP, PMHNP-BC?

The NPI number of Melissa Grudic, DNP, PMHNP-BC is 1417774456. It was assigned on September 23, 2024 and is currently active in the NPPES registry.

What is the specialty of Melissa Grudic, DNP, PMHNP-BC?

Melissa Grudic, DNP, PMHNP-BC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NJ under license number 26NJ15154800.

Where does Melissa Grudic, DNP, PMHNP-BC practice?

The practice location is 511 S Orange Ave # 2078, Newark, NJ 07103-1342. The office can be reached at 973-755-2887 (phone).

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 1417774456 directly on the NPPES registry website.

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