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

Individual provider Family Nurse Practitioner · NPI 1588288914

Mitalben P. Thaliath, APN is a Nurse Practitioner in Cedar Grove, New Jersey. Qualified in 2017, 9 years ago. Practices with Montclair Breast Center PC, a 13-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
9
Licensed in
NJ
In the registry since
2020
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

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Practice location Address checks out

387 Pompton Ave
Cedar Grove, NJ 07009-1801
Phone: (973) 857-2550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2042 Morris Ave, Union, NJ 07083-6045 — (908) 350-4444

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 26NJ00782700 (NJ)

Record details

NPI number1588288914
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN
Sole proprietorNo
NPI enumeratedJune 1, 2020
Last updated in NPPESSeptember 17, 2020
Certification dateSeptember 17, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Montclair Breast Center Pc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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