Melissa Deacon, PHYSICIAN ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00494100 Issued in NJ

Practice address

723 N Beers St Ste 2C
Holmdel, NJ 07733-1512

Phone

(732) 888-8255

NPI assigned

Sep 27, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Melissa Jabiel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• New Jersey Post Acute Medical Services 1 PA

  • Hospitalist Physician
  • Red Bank, NJ
  • NPI 1578092391
  NPD (past)
• Expressdocs2Llc

  • Urgent Care Clinic/Center
  • Delray Beach, FL
  • NPI 1285497743
  NPD (past)

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1669957387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 N BEERS ST",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 N BEERS ST STE 2C",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331512",
            "telephone_number": "732-888-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEACON",
        "first_name": "MELISSA",
        "name_prefix": "Mrs.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-27",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00494100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "JABIEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Heather Dalton, LMT
• Lea Hipolito David, MD
• Lillian Dawson, LCSW
• James Christopher Day Jr., D.P.M.
• Carolyn De Forte, D.M.D.
• Zsuzsa Debroci, LAC, LMT
• Mark Anthony Decotiis, DPM
• Kaitlin Delpriora
• Ashley Taylor Delucia
• Jennifer L Dember, AG NP

• Physician Assistant in Holmdel, NJ
• Providers in Holmdel, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.