Individual provider Active NPI

Lora Marie Melman, MD

  • Surgery Physician
  • Somerset, NJ
National Provider Identifier
1689792525
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25MA09808400 Issued in NJ
Practice address
49 Veronica Ave
Somerset, NJ 08873-6802
Phone
(732) 640-5316
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 25MA09808400 NJ Primary

Addresses

Primary practice location

49 Veronica Ave
Somerset, NJ 08873-6802

Mailing address

49 Veronica Ave
Somerset, NJ 08873-6802
Phone (732) 640-5316

Other identifiers 4

IdentifierTypeStateIssuer
053030OtherCTMEDICAL LICENSE
25MA09808400OtherNJMEDICAL LICENSE
04-36456OtherKSMEDICAL LICENSE
2007013164OtherMOMO LICENSE

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
I20160425001661 NJ Practitioner - General Surgery 9234379124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Saint Louis University School of Medicine, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Advanced Surgical Radiology LLCGroup PAC ID 8426279852, 9 clinicians

Practice addresses (Care Compare)

81 Veronica Ave
Suite 205
Somerset, NJ 08873-3491
Phone (732) 640-5327

Hospital & facility affiliations

  • Robert Wood Johnson University Hospital Hospital, New Brunswick, NJ, CCN 310038
  • Robert Wood Johnson University Hospital - Somerset Hospital, Somerville, NJ, CCN 310048
  • Community Medical Center Hospital, Toms River, NJ, CCN 310041

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux14

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Surgical Radiology LLC Surgery CurrentSince Mar 13, 2016 Accepting new patients
Robert Wood Johnson University Hospital, Inc Past Accepting new patients

Locations

2 State Route 27
Ste 100B
Edison, NJ 08820

81 Veronica Ave
Ste 205
Somerset, NJ 08873
Phone (732) 640-5316

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 3

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": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1689792525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 VERONICA AVE",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088736802",
            "telephone_number": "732-640-5316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 VERONICA AVE",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088736802",
            "telephone_number": "732-640-5316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELMAN",
        "first_name": "LORA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA09808400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "053030",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "25MA09808400",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "04-36456",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MO LICENSE",
            "identifier": "2007013164",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

Verify at the official NPI Registry.