Melissa Rusli, D.O.
Individual provider Active NPI General Practice Physician · Clifton, NJ
NPI 1558554253 · NPPES record last updated Aug 1, 2024
Key facts
- NPI
- 1558554253
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 25MB09133500 (NJ)
- Practice address
- 155 Hazel St
Clifton, NJ 07011-3423 - Phone
- (973) 253-5255
- Fax
- (973) 253-5397
- NPI assigned
- Aug 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120808000680 | NJ | Practitioner - Physical Medicine and Rehabilitation | 7113173097 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB09133500 | NJ | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care of New Jersey, P.a. | Current | Accepting new patients | |
| American Current Care of New Jersey PA | Current |
Accepting new patients | |
| American Current Care of New Jersey PA | Current | Accepting new patients | |
| American Current Care of New Jersey, P.a. | Current |
Accepting new patients |
Locations
595 Division St
Elizabeth, NJ 07201
Phone (908) 289-5646
817 E Gate Dr
#102
Mount Laurel, NJ 08054
Phone (856) 778-1090
30 Seaview Dr
Secaucus, NJ 07094
Phone (201) 319-1611
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 25MB09133500 | NJ | |
| General Practice Physician | 208D00000X | 25MB09133500 | NJ | Yes |
Addresses
Primary practice location
155 Hazel St
Clifton, NJ 07011-3423
Mailing address
120 E Main St
Suite #109
Ramsey, NJ 07446-1925
Phone (201) 855-7700
Other providers in Clifton, NJ
- Gennaro Rubino
- Rupa Ruffin
- Maria Ruiz-Pedraza
- Frank Ruiz
- Brielle Alexandra Ruppert
- Lauren Ann Russo
- Marie Josephine Russo
- Melchiorre Joseph Russo
- Roberto Russo
- Michael C Russonella
All providers in Clifton, NJ · General Practice Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.