Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michelle Bencivengo

Individual provider Gerontology Nurse Practitioner · NPI 1427900638

Michelle Bencivengo is a Nurse Practitioner in Hackensack, New Jersey. Qualified in 2025, 1 year ago. Licensed in New Jersey.

Years since qualifying
1
Licensed in
NJ
In the registry since
2026

Practice location Address checks out

30 Prospect Ave
Hackensack, NJ 07601-1915
Phone: (551) 996-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 26NJ15491700 (NJ)

Record details

NPI number1427900638
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 11, 2026
Last updated in NPPESFebruary 11, 2026
Certification dateFebruary 11, 2026
Mailing address30 Prospect Ave, Hackensack, NJ 07601-1915

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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