MEDICARE: ANN L PINON FNP, PMHNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	26NJ14928800	NJ
2	363LF0000X	Family Nurse Practitioner	26NJ14928800	NJ
3	163WG0000X	General Practice Registered Nurse	574811	NY
4	363LF0000X	Family Nurse Practitioner	F352370	NY

General Provider Information

NPI Number	:	1164114179
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANN L PINON FNP, PMHNP

Provider Business Mailing Address
First Line	:	29 SUSSEX DR
Second Line	:
City	:	WEST MILFORD
State	:	NJ
Zip	:	07480-1139
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1069 RINGWOOD AVE
Second Line	:
City	:	HASKELL
State	:	NJ
Zip	:	07420-1408
Country	:	US
Telephone Number	:	201-286-0860
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2023
Last Update Date	:	03/23/2026

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