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

MS. Melissa Denniston, APN-FAMILYPRACTICE

Individual provider Nurse Practitioner · NPI 1083449995

MS. Melissa Denniston, APN-FAMILYPRACTICE is a Nurse Practitioner in Montclair, New Jersey. Qualified in 2019, 7 years ago. Practices with Eoh Acquisition Group, LLC, a 39-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
7
Licensed in
NJ
In the registry since
2024
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Practice location Address checks out

18-20 Lackawanna Plz Ste 300
Montclair, NJ 07042-3642
Phone: (347) 209-0881
Fax: (973) 869-2532
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2933 Vauxhall Rd Ste 7, Vauxhall, NJ 07088-1248 — (979) 733-9220

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 26NJ15130800 (NJ)

Record details

NPI number1083449995
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN-FAMILYPRACTICE
Sole proprietorYes
NPI enumeratedSeptember 3, 2024
Last updated in NPPESMay 13, 2026
Certification dateMay 13, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Eoh Acquisition Group, Llc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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