Active NPI
Melissa Dryden, APN
- Pediatrics Physician
- Lake Hopatcong, NJ
National Provider Identifier
1447894621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 26NR17029800
- Practice address
- 21 Bowling Green Pkwy
Lake Hopatcong, NJ 07849-3200 - Phone
- (973) 663-1143
- Fax
- (973) 810-3233
- NPI assigned
- Oct 31, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 26NR17029800 | NJ | Primary |
Addresses
Primary practice location
21 Bowling Green Pkwy
Lake Hopatcong, NJ 07849-3200
Mailing address
21 Bowling Green Pkwy
Lake Hopatcong, NJ 07849-3200
Phone (973) 663-1143
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR17029800 | NJ | MD | Pediatrics Physician |
Interoperability endpoints
- mdryden411799@direct.ahsys.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572480000000",
"number": "1447894621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 BOWLING GREEN PKWY",
"city": "LAKE HOPATCONG",
"state": "NJ",
"postal_code": "078493200",
"telephone_number": "973-663-1143",
"fax_number": "973-810-3233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 BOWLING GREEN PKWY",
"city": "LAKE HOPATCONG",
"state": "NJ",
"postal_code": "078493200",
"telephone_number": "973-663-1143",
"fax_number": "973-810-3233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRYDEN",
"first_name": "MELISSA",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-31",
"last_updated": "2019-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "26NR17029800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Hopatcong, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.