Individual provider Active NPI

Gabriella Melahn, PA-C

  • Physician Assistant
  • Hillsborough, NJ
National Provider Identifier
1780357103
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00634800 Issued in NJ
Practice address
105 Raider Blvd Ste 203
Hillsborough, NJ 08844-1528
Phone
(908) 359-8980
NPI assigned
Jul 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00634800 NJ Primary

Addresses

Primary practice location

105 Raider Blvd Ste 203
Hillsborough, NJ 08844-1528

Mailing address

105 Raider Blvd Ste 203
Hillsborough, NJ 08844-1528
Phone (973) 590-8566

Other practice location 1

20 Prospect Ave Ste 702
Hackensack, NJ 07601-1974
Phone (908) 359-8980

Other names 1

  • Miss Gabriella Depiano Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL UNKNOWN

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
I20220418000316 NJ Practitioner - Physician Assistant 7911393103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schweiger Dermatology PCGroup PAC ID 0143442806, 180 clinicians

Practice addresses (Care Compare)

105 Raider Blvd
Suite 203
Hillsborough, NJ 08844-1528
Phone (212) 283-3000

2 Hudson PL
Hoboken, NJ 07030-5594
Phone (212) 283-3000

310 Madison Ave
Suite 206
Morristown, NJ 07960-6967
Phone (973) 571-2121

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00634800NJMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: gabriella.depiano@schweigerderm.emadirect.md

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1780357103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 RAIDER BLVD STE 203",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088441528",
            "telephone_number": "973-590-8566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 RAIDER BLVD STE 203",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088441528",
            "telephone_number": "908-359-8980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Prospect Ave Ste 702",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076011974",
            "country_code": "US",
            "telephone_number": "908-359-8980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELAHN",
        "first_name": "GABRIELLA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-30",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00634800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "UNKNOWN",
            "affiliation": "N",
            "address_1": "20 Prospect Ave Ste 702",
            "city": "Hackensack",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "076011974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "GABRIELLA",
            "last_name": "DEPIANO",
            "prefix": "MISS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hillsborough, NJ

Sources for this page

Verify at the official NPI Registry.