MEDICARE: MELISSA N PAGAN DNP

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	363L00000X	Nurse Practitioner	26NJ01027500	NJ

General Provider Information

NPI Number	:	1568081461
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA N PAGAN DNP

Provider Business Mailing Address
First Line	:	100 TOWN SQUARE PL STE 630
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07310-2778
Country	:	US
Telephone Number	:	973-685-5809
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 TOWN SQUARE PL STE 630
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07310-2778
Country	:	US
Telephone Number	:	973-685-5809
Fax Number	:

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

Provider Enumeration Date	:	04/10/2020
Last Update Date	:	01/13/2026

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