Active NPI
Carlo Bruno Melini, MD
- Developmental - Behavioral Pediatrics Physician
- Marlton, NJ
National Provider Identifier
1700932035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental - Behavioral Pediatrics Physician
- License
- MA21013
- Practice address
- 525 Route 73 S
Marlton, NJ 08053-9642 - Phone
- (856) 983-9100
- Fax
- (856) 983-9102
- NPI assigned
- Jan 27, 2007
- Last updated
- Jun 13, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | MA21013 | NJ | Primary |
Addresses
Primary practice location
525 Route 73 S
Marlton, NJ 08053-9642
Mailing address
525 Route 73 S
Marlton, NJ 08053-9642
Phone (856) 983-9100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA21013 | NJ | MD | Developmental - Behavioral Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339545600000",
"number": "1700932035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 ROUTE 73 S",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080539642",
"telephone_number": "856-983-9100",
"fax_number": "856-983-9102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 ROUTE 73 S",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080539642",
"telephone_number": "856-983-9100",
"fax_number": "856-983-9102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELINI",
"first_name": "CARLO",
"middle_name": "BRUNO",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-27",
"last_updated": "2012-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "NJ",
"license": "MA21013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marlton, NJ
- Meetinghouse Family Physicians PA (Meetinghouse Family Physicians)
- Meetinghouse Family Physicians PA
- Meghan Murphy Schmelzer Caruso, DO, L.L.C.
- Amina Mehrab, M.D
- Anokhi D. Mehta, MD
- Melissa Acquavella-Lightfoot, LLC (New Patterns Psychology)
- Melissa B. Citron, LPC, LLC (Melissa Citron Counseling)
- Mellul Eye & Facial Plastic Surgery, P.C.
- Steven D Mellul, D.O., FACS
- Melvyn a Blake DDS PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.