Melco Residential Services

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

MELCO RESIDENTIAL SERVICES

Practice address

4 Carillon Cir
Livingston, NJ 07039-2600

Phone

(407) 274-4029

NPI assigned

Aug 31, 2023

Organization subpart

No

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

Authorized official

Name

Melissa Mothersil

Title

Chief Executive Officer

Phone

(407) 274-4029

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1336925841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CARILLON CIR",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070392600",
            "telephone_number": "407-274-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CARILLON CIR",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070392600",
            "telephone_number": "407-274-4029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELCO RESIDENTIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "MOTHERSIL",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "407-274-4029"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kunal Mehta, MD
• Siddhart Kumar Mehta, MD
• Adrienne Chidimma Mekoba, PHARMD
• Leah Jeanne Melamed, M.S.,CCC/SLP
• Sari Faibis Melamed, SLP
• Azieb Bereke Meles
• Sharieve Meller, APRN
• Gerald Melnick, MD
• Larry B Melton, M.D.
• Susan Meltzer, LCSW, BCD

• Public Health or Welfare Agency in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Public Health or Welfare Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.