Individual provider Active NPI

Melvin L. Masloff, M.D.

  • Specialist
  • Vineland, NJ
National Provider Identifier
1316980550
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA03230100 Issued in NJ
Practice address
2835 S Delsea Dr
Suite D
Vineland, NJ 08360-7079
Phone
(856) 205-0800
Fax
(856) 205-0024
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25MA03230100 NJ Primary

Addresses

Primary practice location

2835 S Delsea Dr
Suite D
Vineland, NJ 08360-7079

Mailing address

2835 S Delsea Dr
Suite D
Vineland, NJ 08360-7079
Phone (856) 205-0800

Other identifiers 3

IdentifierTypeStateIssuer
0007679660003MedicaidPA
2215501MedicaidNJ
0400045861OtherPARAILROAD MEDICARE PA

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA03230100NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Ear Nose & Throat Professional Associates Past Accepting new patients
Pinnacle ENT Alliance LLC PastSince Apr 1, 2012 Accepting new patients

Organizations & group practices 2

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1316980550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 S DELSEA DR",
            "address_2": "SUITE D",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083607079",
            "telephone_number": "856-205-0800",
            "fax_number": "856-205-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 S DELSEA DR",
            "address_2": "SUITE D",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083607079",
            "telephone_number": "856-205-0800",
            "fax_number": "856-205-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASLOFF",
        "first_name": "MELVIN",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA03230100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007679660003",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2215501",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PA",
            "identifier": "0400045861",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.