Maria Wilma D'Mello, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

25MA041069 Issued in NH

Practice address

385 State Route 18
West Ferris Plaza Unit K
East Brunswick, NJ 08816-5703

Phone

(732) 238-4344

Fax

(732) 238-6981

NPI assigned

Oct 15, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1160870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154411478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 STATE ROUTE 18",
            "address_2": "WEST FERRIS PLAZA UNIT K",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165703",
            "telephone_number": "732-238-4344",
            "fax_number": "732-238-6981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 STATE ROUTE 18",
            "address_2": "WEST FERRIS PLAZA UNIT K",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165703",
            "telephone_number": "732-238-4344",
            "fax_number": "732-238-6981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'MELLO",
        "first_name": "MARIA",
        "middle_name": "WILMA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NH",
            "license": "25MA041069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Customize Me, LLC. (Imagination Hypnotherapy)
• Cybermed Corporation
• Nicole B Czarnecki, RDN
• Michael A D'Addona, MA, LPC, CCMHC, NCC
• Francis C D'Mello, M.D.
• Andrea D'Ovidio, LAC
• D&G Smile II
• Sasha Dacosta-Chambers, NP
• Jessica J Dacosta, PSYD
• Oluwatoyin Olakitan Dada, MD

• Pediatric Adolescent Medicine Physician in East Brunswick, NJ
• Providers in East Brunswick, NJ by specialty
• Pediatric Adolescent Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.