Individual provider Active NPI

Melissajo Cortez

  • Physical Medicine & Rehabilitation Physician
  • Marmora, NJ
National Provider Identifier
1255113296
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
40QA02204900 Issued in NJ
Practice address
210 South Shore Rd
Suite 203
Marmora, NJ 08223-1912
Phone
(609) 390-2400
NPI assigned
Oct 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 40QA02204900 NJ Primary

Addresses

Primary practice location

210 South Shore Rd
Suite 203
Marmora, NJ 08223-1912

Mailing address

210 South Shore Road
Suite 203
Marmora, NJ 08223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231204000048 NJ Practitioner - Physical Therapist in Private Practice 8123476082 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osprey Rehabilitation LLCGroup PAC ID 7214302264, 54 clinicians

Practice addresses (Care Compare)

210 S Shore Rd
Suite 203
Marmora, NJ 08223-1263
Phone (609) 390-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA02204900NJMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Osprey Rehabilitation, LLC. Current Accepting new patients
Osprey Rehabilitation, LLC. CurrentSince Oct 14, 2023 Accepting new patients
Osprey Rehabilitation, LLC. CurrentSince Oct 14, 2023 Accepting new patients
Rehabclinics SPT Inc. CurrentSince Oct 14, 2023 Accepting new patients
Rehabclinics SPT, Inc. CurrentSince Oct 14, 2023 Accepting new patients
Rehabclinics SPT Inc Past Accepting new patients

Locations

34 Manchester Ave
Ste 104
Forked River, NJ 08731
Phone (609) 457-8851

127 Bridgeton Pike
Unit D
Mullica Hill, NJ 08062
Phone (856) 478-0275

Organizations & group practices 6

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": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1255113296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 SOUTH SHORE ROAD",
            "address_2": "SUITE 203",
            "city": "MARMORA",
            "state": "NJ",
            "postal_code": "08223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 SOUTH SHORE RD",
            "address_2": "SUITE 203",
            "city": "MARMORA",
            "state": "NJ",
            "postal_code": "082231912",
            "telephone_number": "609-390-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTEZ",
        "first_name": "MELISSAJO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "40QA02204900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marmora, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.