Active NPI
Melissa Olaya, PT
- Physical Therapist
- Mullica Hill, NJ
National Provider Identifier
1003300328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 159 Bridgeton Pike
Mullica Hill, NJ 08062-2669 - Phone
- (856) 690-1616
- Fax
- (856) 896-6107
- NPI assigned
- Jun 20, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
159 Bridgeton Pike
Mullica Hill, NJ 08062-2669
Mailing address
352 S Delsea Dr Ste C
Vineland, NJ 08360-5306
Phone (856) 690-1616
Other names 1
- Melissa Carabrese
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Orthopaedic and Sports Medicine Assoc of Southern NJ LLC | Current | Accepting new patients | |
| Premier Orthopaedic and Sports Medicine Assoc of Southern NJ LLC | Current | Accepting new patients |
Locations
352 S Delsea Dr
Unit C
Vineland, NJ 08360
Phone 8566901616 ext. 6021
298 S Delsea Dr
Vineland, NJ 08360
Phone (356) 690-1616
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JCFGBA
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Vineland, NJ
- NPI 1396812574
-
- Orthopaedic Surgery Physician
- Mullica Hill, NJ
- NPI 1457092611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583366400000",
"number": "1003300328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "352 S DELSEA DR STE C",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083605306",
"telephone_number": "856-690-1616",
"fax_number": "856-896-6107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "159 BRIDGETON PIKE",
"city": "MULLICA HILL",
"state": "NJ",
"postal_code": "080622669",
"telephone_number": "856-690-1616",
"fax_number": "856-896-6107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLAYA",
"first_name": "MELISSA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-20",
"last_updated": "2020-03-05",
"certification_date": "2020-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "CARABRESE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mullica Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.