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

Nelly Mildred Addison

Individual provider Family Nurse Practitioner · NPI 1063095826

Nelly Mildred Addison is a Nurse Practitioner in Manalapan, New Jersey. Qualified in 2020, 6 years ago. Practices with Saint Peter's Healthcare System Physician Associates, a 44-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey and New York.

Years since qualifying
6
Licensed in
NJ, NY
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

253 Gordons Corner Rd
Manalapan, NJ 07726-3357
Phone: (866) 389-2727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 26NJ01142600 (NJ)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F347193 (NY)

Record details

NPI number1063095826
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 29, 2021
Last updated in NPPESApril 29, 2021
Certification dateApril 29, 2021
Mailing address253 Gordons Corner Rd, Manalapan, NJ 07726-3357

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Saint Peter'S Healthcare System Physician Associates — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Manalapan