Active NPI
Melissa I Dizon, RPH, PHARMD
- Geriatric Pharmacist
- Jersey City, NJ
National Provider Identifier
1396004925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- RI29473
- Practice address
- 34 Roosevelt Ave
Jersey City, NJ 07304-1208 - Phone
- (201) 936-0220
- NPI assigned
- May 16, 2012
- Last updated
- May 16, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | RI29473 | NJ | Primary |
Addresses
Primary practice location
34 Roosevelt Ave
Jersey City, NJ 07304-1208
Mailing address
34 Roosevelt Ave
Jersey City, NJ 07304-1208
Phone (201) 936-0220
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 Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RI29473 | NJ | MD | Geriatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337126400000",
"number": "1396004925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 ROOSEVELT AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073041208",
"telephone_number": "201-936-0220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 ROOSEVELT AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073041208",
"telephone_number": "201-936-0220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIZON",
"first_name": "MELISSA",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "RPH, PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-16",
"last_updated": "2012-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "NJ",
"license": "RI29473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.