Melissa Selke, M.D. P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MA67608 Issued in NJ

Legal business name

MELISSA SELKE, M.D. P.C.

Practice address

390 Amwell Rd
BLDG # 4, Ste. 405
Hillsborough, NJ 08844-1225

Phone

(908) 281-5650

Fax

(908) 281-4311

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Melissa Dawn Selke, M.D.

Title

Owner of Corporation

Phone

(908) 281-5650

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207180800000",
    "number": "1750418406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 AMWELL RD",
            "address_2": "BLDG. #4, SUITE 405",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088441225",
            "telephone_number": "908-281-5650",
            "fax_number": "908-281-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 AMWELL RD",
            "address_2": "BLDG # 4, STE. 405",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088441225",
            "telephone_number": "908-281-5650",
            "fax_number": "908-281-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA SELKE, M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2008-04-03",
        "status": "A",
        "authorized_official_last_name": "SELKE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER OF CORPORATION",
        "authorized_official_telephone_number": "908-281-5650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA67608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6841104",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Midland Adult Services

• Family Medicine Physician in Hillsborough, NJ
• Providers in Hillsborough, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; 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.