Individual provider Active NPI

Melissa D Selke, MD

  • Family Medicine Physician
  • Hillsborough, NJ
National Provider Identifier
1669488367
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MA67608 Issued in NJ
Practice address
390 Amwell Rd
Building 4, Suite 405
Hillsborough, NJ 08844-1225
Phone
(908) 281-1199
Fax
(908) 281-4311
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MA67608 NJ Primary

Addresses

Primary practice location

390 Amwell Rd
Building 4, Suite 405
Hillsborough, NJ 08844-1225

Mailing address

PO Box 416457
Boston, MA 02241-6457
Phone (844) 362-1735

Other practice location 1

575 Route 28
Bldg 3 Suite 3201
Raritan, NJ 08869
Phone (908) 947-2712

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
I20070203000062 NJ Practitioner - Family Practice 4284636259 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Baylor College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5596

575 Route 28
Suite 3107
Raritan, NJ 08869-1354
Phone (908) 947-2720

Hospital & facility affiliations

  • Atlantic Visiting Nurse Home health agency, Morristown, NJ, CCN 317054
  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA67608NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Healthcare Affiliated Physicians PC CurrentSince Aug 1, 2015 Accepting new patients
Princeton Healthcare Affiliated Physicians PC Family Medicine Current Accepting new patients
Practice Associates Medical Group Family Medicine CurrentSince Jan 1, 2021 Accepting new patients
Princeton Healthcare Affiliated Physicians PC CurrentSince Aug 1, 2015 Accepting new patients
Rwjbh Primary Care Services Family Medicine Past Accepting new patients

Locations

401 Ridge Rd
Ste 6
Dayton, NJ 08810
Phone (732) 329-4800

390 Amwell Rd
Ste 405
Hillsborough, NJ 08844
Phone (908) 281-1199

465 South St
Ste 200
Morristown, NJ 07960
Phone (973) 971-7130

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

575 Route 28
Ste 3201
Raritan, NJ 08869
Phone (908) 947-2712

Interoperability endpoints

  • Direct secure messaging: mselke59127@epicdirect.rwjbh.org

Organizations & group practices 5

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1669488367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416457",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416457",
            "telephone_number": "844-362-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 AMWELL RD",
            "address_2": "BUILDING 4, SUITE 405",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088441225",
            "telephone_number": "908-281-1199",
            "fax_number": "908-281-4311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "575 Route 28",
            "address_2": "Bldg 3 Suite 3201",
            "address_purpose": "LOCATION",
            "city": "Raritan",
            "state": "NJ",
            "postal_code": "08869",
            "country_code": "US",
            "telephone_number": "908-947-2712",
            "fax_number": "908-927-9832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SELKE",
        "first_name": "MELISSA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA67608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NJ

Sources for this page

Verify at the official NPI Registry.