Individual provider Active NPI

Meleine Michelle Martinez-Sosa

  • Neurological Surgery Physician
  • Rutherford, NJ
National Provider Identifier
1801157441
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
25MA11305600 Issued in NJ
Practice address
201 State RT 17
Ste 501
Rutherford, NJ 07070-2669
Phone
(201) 457-0044
NPI assigned
May 30, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X 25MA11305600 NJ Primary

Addresses

Primary practice location

201 State RT 17
Ste 501
Rutherford, NJ 07070-2669

Mailing address

201 State RT 17
Ste 501
Rutherford, NJ 07070-2669
Phone (201) 457-0044

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211206001954 NJ Practitioner - Neurosurgery 0648660613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Michigan Medical School, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Neurosurgery Associates PCGroup PAC ID 1850489949, 10 clinicians

Practice addresses (Care Compare)

201 State RT
17 Suite 501
Rutherford, NJ 07070-2906
Phone (201) 457-0044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA11305600NJMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Neurosurgery Associates PC Single Specialty CurrentSince Nov 30, 2021 Accepting new patients

Locations

201 State Rt 17
Ste 501
Rutherford, NJ 07070
Phone (201) 457-0044

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": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1801157441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 STATE RT 17",
            "address_2": "STE 501",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702669",
            "telephone_number": "201-457-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 STATE RT 17",
            "address_2": "STE 501",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702669",
            "telephone_number": "201-457-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ-SOSA",
        "first_name": "MELEINE",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-30",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "NJ",
            "license": "25MA11305600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutherford, NJ

Sources for this page

Verify at the official NPI Registry.