NPIMap

Individual provider Active NPI

Lisa Melsky, MD

  • Internal Medicine Physician
  • Wayne, NJ
National Provider Identifier
1609950906
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA67715 Issued in NJ
Practice address
87 Berdan Ave
Suite 2B
Wayne, NJ 07470-3210
Phone
(973) 692-9631
Fax
(973) 692-1112
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA67715 NJ Primary

Addresses

Primary practice location

87 Berdan Ave
Suite 2B
Wayne, NJ 07470-3210

Mailing address

87 Berdan Ave
Suite 2B
Wayne, NJ 07470-3210
Phone (973) 692-9631

Other names 1

  • Elisaveta Melskaya Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100126000645 NJ Practitioner - Internal Medicine 1658413810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

87 Berdan Ave
Wayne, NJ 07470-3210
Phone (973) 692-9631

87 Berdan Ave
B
Wayne, NJ 07470-3218

Hospital & facility affiliations

  • Valley Home Care Inc. Home health agency, Paramus, NJ, CCN 317008
  • Visiting Health Services of New Jersey Home health agency, Woodland Park, NJ, CCN 317058
  • Adoration Home Health Home health agency, Clifton, NJ, CCN 317017
  • St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019
  • Chilton Medical Center Hospital, Pompton Plains, NJ, CCN 310017
  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
  • Valley Hospital Hospital, Paramus, NJ, CCN 310012
  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA67715NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vita Medical Center, PC Internal Medicine CurrentSince Jan 13, 2000 Accepting new patients
Passaic Medical Group PA Past Accepting new patients

Locations

69 1st Ave
Raritan, NJ 08869
Phone (800) 631-5250

87 Berdan Ave
Ste 2B
Wayne, NJ 07470
Phone (973) 692-9631

87 Berdan Ave
#2B
Wayne, NJ 07470
Phone (973) 692-9631

Organizations & group practices 2

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.

Hospital & facility affiliations 10

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609950906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 BERDAN AVE",
            "address_2": "SUITE 2B",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703210",
            "telephone_number": "973-692-9631",
            "fax_number": "973-692-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 BERDAN AVE",
            "address_2": "SUITE 2B",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703210",
            "telephone_number": "973-692-9631",
            "fax_number": "973-692-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELSKY",
        "first_name": "LISA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA67715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISAVETA",
            "last_name": "MELSKAYA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.