Nurse Practitioner, Gerontology
MEGAN BLACK AGNP
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1649985912 · enumerated 2023-01-20 · record updated 2026-04-13. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 25 MARJALEEN DR, RANDOLPH, NJ, 07869-3411 (201) 741-3881 Google Maps Apple Maps OpenStreetMap
- Practice location 331 SPRINGFIELD AVE, SUMMIT, NJ, 07901-3626 (908) 777-8782 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Gerontology 363LG0600X · Primary · License AG12220001 NJ
In this directory
Locations and evidence
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Practice location
SUMMIT, NJ, 079013626
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.