Individual provider Active NPI

Sabrina Mellusi, DDS

  • Dentist
  • Chester, NJ
National Provider Identifier
1770193625
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI03073800 Issued in NJ
Practice address
31 Main St
Chester, NJ 07930-2530
Phone
(908) 879-2634
NPI assigned
Aug 5, 2020
Last updated
Feb 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN123031 GA
Dentist 122300000X 22DI03073800 NJ Primary

Addresses

Primary practice location

31 Main St
Chester, NJ 07930-2530

Mailing address

31 Main St
Chester, NJ 07930-2530
Phone (908) 879-2634

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

State licenses

LicenseStateTypeSpecialty
DN123031GAMDDentist
22DI03073800NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Professionals of Maryland, Charles Foer, PC General Practice PastSince Aug 1, 2020 Accepting new patients
Center for Dental-Facial Aesthetics, LLC General Practice PastSince Mar 11, 2025 Accepting new patients

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": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1770193625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 MAIN ST",
            "city": "CHESTER",
            "state": "NJ",
            "postal_code": "079302530",
            "telephone_number": "908-879-2634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 MAIN ST",
            "city": "CHESTER",
            "state": "NJ",
            "postal_code": "079302530",
            "telephone_number": "908-879-2634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLUSI",
        "first_name": "SABRINA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-05",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN123031",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI03073800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.