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

Salvatore Zullo, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1710752647

Salvatore Zullo, PMHNP is a Nurse Practitioner in Montclair, New Jersey. Qualified in 2023, 3 years ago. Practices with Moonshot Psychiatric Nurse Practitioner PC, a 76-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
3
Licensed in
NJ
In the registry since
2023
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

18-20 Lackawanna Plz Ste 300
Montclair, NJ 07042-3642
Phone: (855) 444-7258
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 26NJ14955900 (NJ)

Record details

NPI number1710752647
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP
Sole proprietorYes
NPI enumeratedNovember 21, 2023
Last updated in NPPESJanuary 21, 2025
Certification dateJanuary 21, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Moonshot Psychiatric Nurse Practitioner Pc — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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