Individual provider Active NPI

Meghan C Salvatore, M.S.N, R.N, B.S

  • Pediatric Nurse Practitioner
  • Sewell, NJ
National Provider Identifier
1053640110
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
26NJ00267200 Issued in NJ
Practice address
1474 Tanyard Rd Ste D102
Sewell, NJ 08080-4222
Phone
(856) 566-7045
Fax
(856) 566-6850
NPI assigned
Dec 18, 2009
Last updated
Mar 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 26NJ00267200 NJ Primary

Addresses

Primary practice location

1474 Tanyard Rd Ste D102
Sewell, NJ 08080-4222

Mailing address

1474 Tanyard Rd Ste D102
Sewell, NJ 08080-4222
Phone (856) 566-7045

Other practice location 1

405 Hurffville Crosskeys Rd Ste 203
Sewell, NJ 08080-9344
Phone (856) 582-0033

Other practice location 2

42 E Laurel Rd Ste 3500
Stratford, NJ 08084-1354
Phone (856) 566-7040

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address msalvatore295515@directvirtua.org
Direct Messaging Address msalvatore295515@directvirtua.org
Direct Messaging Address msalvatore295515@directvirtua.org

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230511000079 NJ Practitioner - Nurse Practitioner 6901262294 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science, Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NJ00267200NJMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA Current Accepting new patients
Advocare, LLC CurrentSince May 2, 2023 Accepting new patients
Virtua Medical Group, PA CurrentSince Feb 12, 2025 Accepting new patients
Virtua Medical Group, PA CurrentSince Feb 12, 2025 Accepting new patients
Advocare , LLC CurrentSince May 2, 2023 Accepting new patients
Rowansom Dept of Pediatrics PastSince Jun 14, 2004 Accepting new patients
Rowansom Dept of Obstetrics Gynecology Past Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

340 Front St
Elmer, NJ 08318
Phone (856) 358-3747

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

141 Route 70 E
Ste E
Marlton, NJ 08053
Phone (856) 985-7373

303 Lippincott Dr
Marlton, NJ 08053

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

402 Lippincott Dr
Marlton, NJ 08053
Phone (410) 763-8787

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

1474 Tanyard Rd
Ste D102
Sewell, NJ 08080
Phone (856) 566-7045

405 Hurffville Crosskeys Rd
Ste 203
Sewell, NJ 08080
Phone (856) 582-0033

42 E Laurel Rd
Ste 3500
Stratford, NJ 08084
Phone (856) 566-7040

1050 Mantua Pike
Ste 200
Wenonah, NJ 08090
Phone (856) 853-0848

849 Cooper St
Woodbury, NJ 08096
Phone (856) 848-6346

Interoperability endpoints

  • Direct secure messaging: msalvatore295515@directvirtua.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1261094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1053640110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1474 TANYARD RD STE D102",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080804222",
            "telephone_number": "856-566-7045",
            "fax_number": "856-566-6850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1474 TANYARD RD STE D102",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080804222",
            "telephone_number": "856-566-7045",
            "fax_number": "856-566-6850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 Hurffville Crosskeys Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080809344",
            "country_code": "US",
            "telephone_number": "856-582-0033",
            "fax_number": "856-582-2305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "42 E Laurel Rd Ste 3500",
            "address_purpose": "LOCATION",
            "city": "Stratford",
            "state": "NJ",
            "postal_code": "080841354",
            "country_code": "US",
            "telephone_number": "856-566-7040",
            "fax_number": "856-566-6826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALVATORE",
        "first_name": "MEGHAN",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "M.S.N, R.N, B.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-18",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "26NJ00267200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "msalvatore295515@directvirtua.org",
            "affiliation": "N",
            "address_1": "405 Hurffville Crosskeys Rd Ste 203",
            "city": "Sewell",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080809344",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "msalvatore295515@directvirtua.org",
            "affiliation": "N",
            "address_1": "42 E Laurel Rd Ste 3500",
            "city": "Stratford",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080841354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "msalvatore295515@directvirtua.org",
            "affiliation": "N",
            "address_1": "1474 Tanyard Rd Ste D102",
            "city": "Sewell",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080804222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

Verify at the official NPI Registry.