Individual provider Active NPI

Louis P Melchiorre Jr., MD

  • Pediatrics Physician
  • West Deptford, NJ
National Provider Identifier
1023096062
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA06561800 Issued in NJ
Practice address
646 Kings Hwy
West Deptford, NJ 08096-3145
Phone
(856) 879-2887
Fax
(844) 778-8941
NPI assigned
Jan 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA06561800 NJ Primary

Addresses

Primary practice location

646 Kings Hwy
West Deptford, NJ 08096-3145

Mailing address

401 Route 73 N Ste 320
Marlton, NJ 08053-3426
Phone (856) 879-2887

Other identifiers 1

IdentifierTypeStateIssuer
7634706MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051018000976 NJ Practitioner - Pediatric Medicine 5597799775 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare , LLC CurrentSince Oct 5, 2020 Accepting new patients
Advocare, LLC Pediatrics CurrentSince Oct 5, 2020 Accepting new patients
Advocare, LLC Pediatrics Past Accepting new patients

Locations

500 Grove St
Ste 100
Haddon Heights, NJ 08035
Phone (856) 796-9200

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

25 Lindsley Dr
Ste 205
Morristown, NJ 07960
Phone (973) 993-8777

19 Village Center Dr
Swedesboro, NJ 08085
Phone (856) 468-8330

646 Kings Hwy
West Deptford, NJ 08096
Phone (856) 879-2887

Interoperability endpoints

  • Direct secure messaging: louis.melchiorre@advocaredoctors.eclinicaldirectplus.com

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1023096062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 ROUTE 73 N STE 320",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533426",
            "telephone_number": "856-879-2887",
            "fax_number": "844-778-8941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 KINGS HWY",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080963145",
            "telephone_number": "856-879-2887",
            "fax_number": "844-778-8941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELCHIORRE",
        "first_name": "LOUIS",
        "middle_name": "P",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA06561800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7634706",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Deptford, NJ

Sources for this page

Verify at the official NPI Registry.