Individual provider Active NPI

Melissa Gott, D.O.

  • Colon & Rectal Surgery Physician
  • Mullica Hill, NJ
National Provider Identifier
1609302769
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
25MB11955400 Issued in NJ
Practice address
698 Mullica Hill Rd Ste 300
Mullica Hill, NJ 08062-4453
Phone
(856) 641-8635
Fax
(856) 641-8636
NPI assigned
May 11, 2017
Last updated
Nov 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Surgery Physician 208600000X 12730724-8904 UT
Colon & Rectal Surgery Physician 208C00000X 25MB11955400 NJ Primary

Addresses

Primary practice location

698 Mullica Hill Rd Ste 300
Mullica Hill, NJ 08062-4453

Mailing address

1107 Anthony Dr
Vineland, NJ 08360-6212
Phone (936) 776-6271

Other practice location 1

1505 W Sherman Ave Ste B
Vineland, NJ 08360-7059
Phone (856) 641-8635

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240212003014 NJ Practitioner - Colorectal Surgery (Proctology) 5890182984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
University of New England, College of Osteo Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inspira Health Network Medical Group PCGroup PAC ID 4880797570, 238 clinicians

Practice addresses (Care Compare)

1505 W Sherman Ave
Vineland, NJ 08360-7059

798 Centerton Rd
Pittsgrove, NJ 08318-3945
Phone (856) 358-6161

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy19
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
12730724-8904UTMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inspira Health Network Medical Group, P.C. CurrentSince Jan 7, 2024 Accepting new patients

Locations

1120 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 205-7071

698 Mullica Hill Rd
Ste 300
Mullica Hill, NJ 08062
Phone (856) 508-3845

798 Centerton Rd
Pittsgrove, NJ 08318
Phone (856) 358-6161

1505 W Sherman Ave
Vineland, NJ 08360
Phone (856) 451-6600

1505 W Sherman Ave
Ste B
Vineland, NJ 08360
Phone (856) 641-8635

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1609302769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 ANTHONY DR",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606212",
            "telephone_number": "936-776-6271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "698 MULLICA HILL RD STE 300",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080624453",
            "telephone_number": "856-641-8635",
            "fax_number": "856-641-8636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1505 W Sherman Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Vineland",
            "state": "NJ",
            "postal_code": "083607059",
            "country_code": "US",
            "telephone_number": "856-641-8635",
            "fax_number": "856-641-8636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOTT",
        "first_name": "MELISSA",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2023-11-13",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "UT",
            "license": "12730724-8904",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NJ",
            "license": "25MB11955400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mullica Hill, NJ

Sources for this page

Verify at the official NPI Registry.