Michael Melendez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC04708300 Issued in NJ

Practice address

196 Sherwood Ave
Paterson, NJ 07502-1623

Phone

(973) 790-7869

Fax

(973) 790-7869

NPI assigned

Jan 8, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mmelendez@sjhbh.cernerdirect.com

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.

• St. Joseph'S Healthcare, Inc.

  • Internal Medicine Physician
  • Paterson, NJ
  • NPI 1497791297
  Medicare reassignment
• St Josephs University Medical Center Inc.

  • Community/Retail Pharmacy
  • Paterson, NJ
  • NPI 1477304541
  NPD (past)

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199750400000",
    "number": "1285819300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 SHERWOOD AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075021623",
            "telephone_number": "973-790-7869",
            "fax_number": "973-790-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 SHERWOOD AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075021623",
            "telephone_number": "973-790-7869",
            "fax_number": "973-790-7869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELENDEZ",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-08",
        "last_updated": "2008-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04708300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0095745",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edgar Rafael Mejia, MD
• Gloria Maria Mejia, MD
• Erinie Makram Mekheal, MD
• Nader Magdy Mekheal, MD
• Harout A Mekhjian, MD
• Margaret Melillo
• Maleeha A Memon, MD
• Jill S. Menell, M.D.
• Gregory E Menken, M.D.
• Listowell Asamoah Mensah

• Clinical Social Worker in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.