Active NPI
Melissa J. Morrow McCulley, CTRS, CPS TECH, WSI
- Recreation Therapist
- New Brunswick, NJ
National Provider Identifier
1154569937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- License
- 51200
- Practice address
- 200 Somerset St
New Brunswick, NJ 08901-1942 - Phone
- (732) 258-7080
- NPI assigned
- Feb 2, 2009
- 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 |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | 51200 | NJ | Primary |
Addresses
Primary practice location
200 Somerset St
New Brunswick, NJ 08901-1942
Mailing address
24 North Ave W
Apt 2
Cranford, NJ 07016-5119
Phone (732) 258-7080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51200 | NJ | MD | Recreation Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233532800000",
"number": "1154569937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 NORTH AVE W",
"address_2": "APT 2",
"city": "CRANFORD",
"state": "NJ",
"postal_code": "070165119",
"telephone_number": "732-258-7080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 SOMERSET ST",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089011942",
"telephone_number": "732-258-7080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCULLEY",
"first_name": "MELISSA",
"middle_name": "J. MORROW",
"name_prefix": "Mrs.",
"credential": "CTRS, CPS TECH, WSI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-02",
"last_updated": "2009-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "NJ",
"license": "51200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.