Individual provider Active NPI

Carol L Melezko

  • Family Nurse Practitioner
  • Levittown, PA
National Provider Identifier
1629841184
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP028544 Issued in PA
Practice address
4595 New Falls Rd
Levittown, PA 19056-3014
Phone
(267) 587-3700
NPI assigned
Nov 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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 SP028544 PA Primary

Addresses

Primary practice location

4595 New Falls Rd
Levittown, PA 19056-3014

Mailing address

919 Excelsior Ave
Croydon, PA 19021-7518

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20231213003781 PA Practitioner - Nurse Practitioner 4385093509 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2021 Chestnut St
Philadelphia, PA 19103-3373
Phone (267) 443-2020

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health Mid-Atlantic Medical Group Current Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Dec 6, 2023 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Dec 6, 2023 Accepting new patients

Locations

4595 New Falls Rd
Unit A
Levittown, PA 19056
Phone (267) 587-3700

41 University Dr
Ste 300
Newtown, PA 18940
Phone (215) 710-7037

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

178 W Street Rd
Trevose, PA 19053
Phone (215) 322-5042

Interoperability endpoints

  • Direct secure messaging: cmelezko2014273@direct.trinity-health.org

Organizations & group practices 4

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": "1699228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1629841184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 EXCELSIOR AVE",
            "city": "CROYDON",
            "state": "PA",
            "postal_code": "190217518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4595 NEW FALLS RD",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190563014",
            "telephone_number": "267-587-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELEZKO",
        "first_name": "CAROL",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-06",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP028544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, PA

Sources for this page

Verify at the official NPI Registry.