Individual provider Active NPI

Melody Murillo, APN, FNP-C

  • Family Nurse Practitioner
  • Pompton Plains, NJ
National Provider Identifier
1487386959
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01319900 Issued in NJ
Practice address
1 Cedar Crest Village Dr
Pompton Plains, NJ 07444-2100
Phone
(973) 831-3540
NPI assigned
Jun 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01319900 NJ Primary

Addresses

Primary practice location

1 Cedar Crest Village Dr
Pompton Plains, NJ 07444-2100

Mailing address

5730 Executive Dr Ste 230
Catonsville, MD 21228-1762
Phone (410) 402-2379

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220721000858 NJ Practitioner - Nurse Practitioner 5294116315 Reassigns benefits to 1 organization
I20231004000942 NY Practitioner - Nurse Practitioner 5294116315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kane Wound Care LLCGroup PAC ID 2567591274, 53 clinicians

Practice addresses (Care Compare)

3626 Route 1
Princeton, NJ 08540-5922
Phone (609) 945-3611

490 Pelham Rd
New Rochelle, NY 10805-1801
Phone (914) 636-2800

Merit-based Incentive Payment System (MIPS)

Final score
51.39 of 100Reported as group
Quality
64.84
Promoting interoperability
0
Improvement activities
0
Cost
73.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ01319900NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kane Wound Care LLC CurrentSince Aug 28, 2023 Accepting new patients

Locations

93 Manalapan Ave
Freehold, NJ 07728
Phone (732) 303-8800

100 Mazdabrook Rd
#One
Parsippany, NJ 07054
Phone (732) 841-9338

1 Cedar Crest Village Dr
Pompton Plns, NJ 07444
Phone (973) 831-3540

3626 US Highway 1
Princeton, NJ 08540
Phone (609) 243-0445

1740 84th St
Brooklyn, NY 11214
Phone (718) 232-3666

490 Pelham Rd
New Rochelle, NY 10805
Phone (914) 636-2800

150 Sunnyside Blvd
Plainview, NY 11803
Phone (516) 280-8811

193 S Union Rd
Williamsville, NY 14221
Phone (716) 276-1900

Organizations & group practices 1

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": "1656028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1487386959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 EXECUTIVE DR STE 230",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212281762",
            "telephone_number": "410-402-2379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CEDAR CREST VILLAGE DR",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074442100",
            "telephone_number": "973-831-3540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURILLO",
        "first_name": "MELODY",
        "credential": "APN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-24",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01319900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompton Plains, NJ

Sources for this page

Verify at the official NPI Registry.