Melissa Anne Banzon, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MA10877500 Issued in NJ

Practice address

1235 Whitehorse Mercerville Rd Ste 301
Hamilton, NJ 08619-3810

Phone

(609) 528-2144

Fax

(330) 854-0829

NPI assigned

May 11, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: melissa.banzon.1@14940.direct.athenahealth.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.

• Radiology Associates of Canton, Inc.

  • Diagnostic Radiology Physician
  • Canton, OH
  • NPI 1912982034
  NPD (past)

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1417335498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 WHITEHORSE MERCERVILLE RD STE 301",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086193810",
            "telephone_number": "095-282-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 WHITEHORSE MERCERVILLE RD STE 301",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086193810",
            "telephone_number": "609-528-2144",
            "fax_number": "330-854-0829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANZON",
        "first_name": "MELISSA",
        "middle_name": "ANNE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-11",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.132627",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA10877500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0305269",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isaac Bak, O.D.
• Balanced Life Counseling & Wellness LLC
• Dennis L Balazsi, DMD
• Patrick Bamgboye, DDS
• James Alan Bancroft, MD
• Melanie Lynn Barber, OTR
• Barnabas Health Medical Group PC
• Barnabas Health Medical Group PC
• Ayanna S Barnes
• Renee Barnes, APN, FNP-BC

• Family Medicine Physician in Hamilton, NJ
• Providers in Hamilton, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.