Individual provider Active NPI

Melissa Cerceo

  • Family Nurse Practitioner
  • Manahawkin, NJ
National Provider Identifier
1700642279
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ1497800 Issued in NJ
Practice address
1322 Route 72 W Ste 2
Manahawkin, NJ 08050-2489
Phone
(732) 353-1727
NPI assigned
Feb 22, 2024
Last updated
Feb 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 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 26NJ1497800 NJ Primary

Addresses

Primary practice location

1322 Route 72 W Ste 2
Manahawkin, NJ 08050-2489

Mailing address

100 Williamsburg CT
Marlton, NJ 08053-3748
Phone (609) 351-8162

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
I20240611003222 NJ Practitioner - Nurse Practitioner 1355883869 Reassigns benefits to 1 organization

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
NJ Certified Dermatology PCGroup PAC ID 9931492287, 38 clinicians

Practice addresses (Care Compare)

2275 Route 33
Suite 303
Hamilton, NJ 08690-1748
Phone (732) 456-7777

701 High St
Burlington, NJ 08016-2711
Phone (732) 456-7777

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ1497800NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NJ Certified Dermatology PC CurrentSince May 1, 2024 Accepting new patients
NJ Certified Dermatology PC Past Accepting new patients

Locations

1060 Kings Hwy N
Ste 120
Cherry Hill, NJ 08034

200 Middlesex Tpke
Ste 206
Iselin, NJ 08830
Phone (732) 353-1727

1322 Route 72 W
Ste 2
Manahawkin, NJ 08050
Phone (732) 353-1727

26 State Route 35 N
Neptune, NJ 07753
Phone (732) 643-6299

200 Perrine Rd
Ste 226
Old Bridge, NJ 08857

242 Old New Brunswick Rd
Piscataway, NJ 08854
Phone (856) 354-0664

242 Old New Brunswick Rd
Ste 110
Piscataway, NJ 08854

1580 Lakewood Rd
Ste 16
Toms River, NJ 08755

2275 Route 33
Ste 303
Trenton, NJ 08690
Phone (609) 838-6100

Interoperability endpoints

  • Direct secure messaging: mcerceo@cdnj.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1708560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1700642279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WILLIAMSBURG CT",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533748",
            "telephone_number": "609-351-8162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 ROUTE 72 W STE 2",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502489",
            "telephone_number": "732-353-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERCEO",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ1497800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manahawkin, NJ

Sources for this page

Verify at the official NPI Registry.