Individual
MELISSA MELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601
(551) 996-2000
Mailing address
230 COUNTRY CLUB LN, SCOTCH PLAINS, NJ 07076-3115
(908) 601-8121
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00522500
NJ
363AM0700X
Medical Physician Assistant
—
—
363LN0005X
Critical Care Neonatal Nurse Practitioner
031211
DC
364SN0000X
Neonatal Clinical Nurse Specialist
25MP00522500
NJ
Other
Enumeration date
11/05/2015
Last updated
05/05/2025
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