Jls Medical PC in Newark, NJ
This organization bills under NPI 1164007043, an organization record issued on Mar 12, 2021 with the primary taxonomy Psychiatry Physician. Each clinician who works there has their own NPI and license.
Organization recordNPPES, Aug 2026
1164007043
- Legal name
- Jls Medical PC
- Entity
- Type 2 · organization
- Primary taxonomy
- Psychiatry Physician 2084P0800X
- Practice location
- 550 BROAD ST STE 606, Newark, NJ 07102
- Phone
- 201-822-1161
- Mailing address
- Ridgefield, CT
- Enumerated
- Mar 12, 2021
- Record updated
- Mar 8, 2023
- Authorized official
- Manager (title as filed)
20 clinicians CMS lists with Jls Medical in Newark
- Maureen Ambinder-Knice, APRN BCPsychiatric/Mental Health Nurse Practitioner1043346448
- Falecia Andino, APNPsychiatric/Mental Health Nurse Practitioner1689484016
- Aderoju ArasanyinPsychiatric/Mental Health Nurse Practitioner1427768928
- Angie BaezPsychiatric/Mental Health Nurse Practitioner1518675818
- Annecie Barriere, DNP, APRN, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner1528825296
- Marybeth BloodPsychiatric/Mental Health Nurse Practitioner1396311932
- William Chu, APRN, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner1376382911
- Melissa Doyle, PHD, LCSWSocial Worker1891785861
- Kelly Drol, LMSWClinical Social Worker1568033322
- Jeffrey Dynof, DNP, APN, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner1649948589
- Natalie Grant, RNPsychiatric/Mental Health Nurse Practitioner1265798045
- Anyi Hsueh, DNP, PMHNP-BC, CNMPsychiatric/Mental Health Nurse Practitioner1295047447
- Jordan IndykClinical Social Worker1144066994
- Tina Marie James, MSN, APRN, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner1366021222
- Lilian KordiePsychiatric/Mental Health Nurse Practitioner1720460108
- Runa Laila, FNP-CPsychiatric/Mental Health Nurse Practitioner1528717014
- Danielle Mainardi, PMHNPPsychiatric/Mental Health Nurse Practitioner1790468619
- Shannon Mcelroy, PMHNPPsychiatric/Mental Health Nurse Practitioner1679064695
- Donna Mckinnon, APNPsychiatric/Mental Health Nurse Practitioner1437653425
- Oliver Moore, DNP, APN, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner1770068942
Source: CMS Doctors and Clinicians group affiliations, matched by practice name and city.
Checking an organization
- Confirm the business with the New Jersey secretary of state.
- Check the HHS-OIG exclusion list for the organization.
- Verify each clinician on their own record and the state license search.
All taxonomies on this record
- 208000000X Pediatrics Physician
- 2084P0800X Psychiatry Physician
- 261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center)
- 363LP0808X Psychiatric/Mental Health Nurse Practitioner
Common questions
Why is the mailing address in Connecticut?
The mailing address in the record (Ridgefield, CT) is where the organization receives mail. Care is given at the practice location in Newark.
Is an organization NPI a license?
No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.
Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.