NPPES file of Aug 9, 2026

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.

CMS NPPES registry, file of Aug 9, 2026 · method · Verify with CMS →

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)
Public record from the NPPES NPI Registry (open it on CMS). An NPI identifies who bills; it is not a facility license.

20 clinicians CMS lists with Jls Medical in Newark

  1. Maureen Ambinder-Knice, APRN BCPsychiatric/Mental Health Nurse Practitioner1043346448
  2. Falecia Andino, APNPsychiatric/Mental Health Nurse Practitioner1689484016
  3. Aderoju ArasanyinPsychiatric/Mental Health Nurse Practitioner1427768928
  4. Angie BaezPsychiatric/Mental Health Nurse Practitioner1518675818
  5. Annecie Barriere, DNP, APRN, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner1528825296
  6. Marybeth BloodPsychiatric/Mental Health Nurse Practitioner1396311932
  7. William Chu, APRN, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner1376382911
  8. Melissa Doyle, PHD, LCSWSocial Worker1891785861
  9. Kelly Drol, LMSWClinical Social Worker1568033322
  10. Jeffrey Dynof, DNP, APN, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner1649948589
  11. Natalie Grant, RNPsychiatric/Mental Health Nurse Practitioner1265798045
  12. Anyi Hsueh, DNP, PMHNP-BC, CNMPsychiatric/Mental Health Nurse Practitioner1295047447
  13. Jordan IndykClinical Social Worker1144066994
  14. Tina Marie James, MSN, APRN, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner1366021222
  15. Lilian KordiePsychiatric/Mental Health Nurse Practitioner1720460108
  16. Runa Laila, FNP-CPsychiatric/Mental Health Nurse Practitioner1528717014
  17. Danielle Mainardi, PMHNPPsychiatric/Mental Health Nurse Practitioner1790468619
  18. Shannon Mcelroy, PMHNPPsychiatric/Mental Health Nurse Practitioner1679064695
  19. Donna Mckinnon, APNPsychiatric/Mental Health Nurse Practitioner1437653425
  20. 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

  1. Confirm the business with the New Jersey secretary of state.
  2. Check the HHS-OIG exclusion list for the organization.
  3. 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.