Active NPI
Sabrina Mellusi, DDS
- Dentist
- Chester, NJ
National Provider Identifier
1770193625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI03073800
- Practice address
- 31 Main St
Chester, NJ 07930-2530 - Phone
- (908) 879-2634
- NPI assigned
- Aug 5, 2020
- Last updated
- Feb 24, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DN123031 | GA | MD | Dentist |
| 22DI03073800 | NJ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Professionals of Maryland, Charles Foer, PC | General Practice | Past | Accepting new patients |
| Center for Dental-Facial Aesthetics, LLC | General Practice | Past | 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.
-
- General Practice Dentistry
- Chester, NJ
- NPI 1841457249
-
dba Dental Care of Elkton
- General Practice Dentistry
- Elkton, MD
- NPI 1306321856
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.