Melissa Rusli, D.O.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

25MB09133500 Issued in NJ

Practice address

155 Hazel St
Clifton, NJ 07011-3423

Phone

(973) 253-5255

Fax

(973) 253-5397

NPI assigned

Aug 26, 2007

Last updated

Aug 1, 2024By the provider in NPPES

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

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 Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• American Current Care of New Jersey, P.a.

  dba Concentra Urgent Care

  • Urgent Care Clinic/Center
  • Addison, TX
  • NPI 1609044999

  NJ

  Medicare reassignment NPD
• Integrative Rehabilitation Associates LLC

  • Specialist
  • Clifton, NJ
  • NPI 1366831984
  Authorized official Same address or phone
• American Current Care of New Jersey PA

  dba Concentra Urgent Care

  • Urgent Care Clinic/Center
  • Rahway, NJ
  • NPI 1083192561
  NPD
• American Current Care of New Jersey PA

  • Urgent Care Clinic/Center
  • Mount Laurel, NJ
  • NPI 1821266156
  NPD
• American Current Care of New Jersey, P.a.

  dba Concentra Urgent Care

  • Urgent Care Clinic/Center
  • Lawrenceville, NJ
  • NPI 1780163923
  NPD

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

{
    "created_epoch": "1188086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1558554253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E MAIN ST",
            "address_2": "SUITE #109",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074461925",
            "telephone_number": "201-855-7700",
            "fax_number": "201-855-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 HAZEL ST",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070113423",
            "telephone_number": "973-253-5255",
            "fax_number": "973-253-5397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSLI",
        "first_name": "MELISSA",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-26",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MB09133500",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NJ",
            "license": "25MB09133500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gennaro Rubino, M.D.
• Rupa Ruffin
• Maria Ruiz-Pedraza, LAC
• Frank Ruiz, MD
• Brielle Alexandra Ruppert, MS CCC SLP
• Lauren Ann Russo, OTR
• Marie Josephine Russo, LCSW
• Melchiorre Joseph Russo, MD
• Roberto Russo, DDS
• Michael C Russonella, DO

• General Practice Physician in Clifton, NJ
• Providers in Clifton, NJ by specialty
• General Practice Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.