Individual provider Active NPI

Melissa Pluguez Moldavskiy, APRN FNP-BC AGACNPBC

  • Acute Care Nurse Practitioner
  • Camden, NJ
National Provider Identifier
1659858900
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
26NJ00923800 Issued in NJ
Practice address
1 Cooper PLZ
Camden, NJ 08103-1461
Phone
(347) 466-3798
NPI assigned
Jul 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 26NJ00923800 NJ Primary

Addresses

Primary practice location

1 Cooper PLZ
Camden, NJ 08103-1461

Mailing address

1 Federal St # 200
Camden, NJ 08103-1088
Phone (856) 356-4924

Other practice location 1

42 Bevier St
Springfield, MA 01107-0110
Phone (413) 455-3072

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190906001286 NJ Practitioner - Nurse Practitioner 7911236591 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Cooper PLZ
Camden, NJ 08103-1461

2 Cooper PLZ
Camden, NJ 08103-1461

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.83 of 100Reported as group
Quality
88.78
Promoting interoperability
99
Improvement activities
40
Cost
74.17

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CMC Department of Medicine Group PA CurrentSince Aug 1, 2021 Accepting new patients
CMC Department of Medicine CurrentSince Apr 13, 2024 Accepting new patients
CMC Department of Medicine Group PA Current Accepting new patients
Vip Rheumatology CurrentSince Jan 5, 2026 Accepting new patients

Locations

3 Cooper Plz
Rm 215
Camden, NJ 08103
Phone (856) 342-2439

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

1 Federal St
#200
Camden, NJ 08103

3 Cooper Plz
Rm 311
Camden, NJ 08103
Phone (856) 342-2034

1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920

1 Cooper Plz
#432
Camden, NJ 08103
Phone (856) 342-2633

76 W Jimmie Leeds Rd
Ste 201
Galloway, NJ 08205
Phone (609) 652-0100

200 Century Pkwy
Ste D
Mount Laurel, NJ 08054
Phone (856) 567-4386

Organizations & group practices 6

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 2

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": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1659858900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST # 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "856-356-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COOPER PLZ",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031461",
            "telephone_number": "347-466-3798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42 BEVIER ST",
            "address_purpose": "LOCATION",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011070110",
            "country_code": "US",
            "telephone_number": "413-455-3072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLUGUEZ MOLDAVSKIY",
        "first_name": "MELISSA",
        "credential": "APRN FNP-BC AGACNPBC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "26NJ00923800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.