Marissa Lynn Mellinger

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

631 S College Ave
Newark, DE 19716-2010

Phone

(302) 831-4006

NPI assigned

Feb 8, 2023

Last updated

Feb 8, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1675814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1821795030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HEATHCOTE AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088174732",
            "telephone_number": "732-570-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 S COLLEGE AVE",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197162010",
            "telephone_number": "302-831-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLINGER",
        "first_name": "MARISSA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-08",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESPIRATORY, REHABILITATIVE, RESTORATIVE SERVICE PROVIDERS",
            "identifier": "22",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nemishh Mehta, MD
• Radhika A Mehta
• Samir Mehta, DO
• Shilpa Prabodh Mehta, MD
• Loveline Ndikum Azeh Mejang Epse Che
• Bethany Anne Melo, PA-C, MPH
• Jo A Melson, FNP
• Jimmie Kevin Memminger, MS
• Muhammad Ahmed Memon, DO
• Raafia Memon, M.D.

• Athletic Trainer in Newark, DE
• Providers in Newark, DE by specialty
• Athletic Trainer in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.