Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Premilla Mendonca, APN-C

Individual provider Gerontology Nurse Practitioner · NPI 1619417300

Mrs. Premilla Mendonca, APN-C is a Nurse Practitioner in Edison, New Jersey. Graduated from Rutgers New Jersey Medical School in 2015, 11 years ago. Practices with Rutgers Health-Rwj Scleroderma Program, a 387-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
11
Trained at
Rutgers New Jersey Medical School
Licensed in
NJ
In the registry since
2017
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Practice location Address checks out

73 Karen Pl
Edison, NJ 08817-2352
Phone: (732) 331-8947
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 26NJ00636900 (NJ)

Record details

NPI number1619417300
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN-C
Sole proprietorNo
NPI enumeratedMarch 1, 2017
Last updated in NPPESOctober 8, 2024
Certification dateOctober 8, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolRUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated 2015 (11 years in practice)
Group practice Rutgers Health-Rwj Scleroderma Program — 387 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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