Individual provider Active NPI

Melanie Anne Mouhtis, FNP-C

  • Family Nurse Practitioner
  • Medford, NJ
National Provider Identifier
1831715150
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01038900 Issued in NJ
Practice address
128 Route 70 Ste 1
Medford, NJ 08055-2371
Phone
(609) 367-0900
Fax
(609) 367-0901
NPI assigned
Jun 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01038900 NJ Primary

Addresses

Primary practice location

128 Route 70 Ste 1
Medford, NJ 08055-2371

Mailing address

3 Avon CT
Mount Laurel, NJ 08054-3102
Phone (609) 626-1080

Other practice location 1

239 Hurffville Crosskeys Rd Ste 160
Sewell, NJ 08080-4005
Phone (856) 341-8200

Other practice location 2

555 High St Ste 16A
Mount Holly, NJ 08060-1084
Phone (609) 444-5610

Other practice location 3

602 W Cuthbert Blvd Unit 26
Haddon Township, NJ 08108-3642
Phone (856) 946-5180

Other practice location 4

315 Route 70 E Ste A
Cherry Hill, NJ 08034-2408
Phone (856) 375-6240

Other practice location 5

158 Route 73 Ste B
Voorhees, NJ 08043-9539
Phone (856) 247-7230

Other practice location 6

602 W. Cuthbert Blvd
Unit 26 Suite A
Westmont, NJ 08108
Phone (856) 946-5180

Other practice location 7

6 Earlin Ave
Browns Mills, NJ 08015-1700
Phone (609) 757-1717

Other practice location 8

141 Bridgeton Pike Unit B
Mullica Hill, NJ 08062-2615
Phone (856) 746-0206

Other practice location 9

401 Young Ave Ste 180 Front
Moorestown, NJ 08057-3139
Phone (856) 291-8600

Other identifiers 1

IdentifierTypeStateIssuer
0743721MedicaidNJ

Electronic endpoints 8

TypeEndpointUseAffiliation
Direct Messaging Address mmouhtis275692@directvirtua.org Direct
Direct Messaging Address mmouhtis275692@directvirtua.org Direct
Direct Messaging Address mmouhtis275692@directvirtua.org Direct
Direct Messaging Address mmouhtis275692@directvirtua.org Direct
Direct Messaging Address mmouhtis275692@directvirtua.org Direct
Direct Messaging Address mmouhtis275692@directvirtua.org Direct
Direct Messaging Address mmouhtis275692@directvirtua.org Direct
Direct Messaging Address mmouhtis275692@directvirtua.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200723001368 NJ Practitioner - Nurse Practitioner 2466876453 Reassigns benefits to 3 organizations
I20260526000730 NY Practitioner - Nurse Practitioner 2466876453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians
Local Medical Health Services, P.C.Group PAC ID 2961987664, 2 clinicians
Central Jersey Urgent CareGroup PAC ID 7618114323, 78 clinicians

Practice addresses (Care Compare)

401 Young Ave
Suite 180
Moorestown, NJ 08057-3139
Phone (856) 291-8600

6230 Jericho Tpke
Commack, NY 11725-2811
Phone (631) 735-6330

731 Hwy 35
Unit G
Ocean, NJ 07712-4767
Phone (732) 455-8444

Merit-based Incentive Payment System (MIPS)

Final score
81.15 of 100Reported as group
Quality
62.28
Promoting interoperability
100
Improvement activities
40
Cost
74.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ01038900NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Jersey Urgent Care CurrentSince Nov 14, 2022 Accepting new patients
Central Jersey Urgent Care CurrentSince Nov 14, 2022 Accepting new patients
Local Infusion Health of NJ PC CurrentSince Dec 1, 2025 Accepting new patients
Virtua Medical Group, PA CurrentSince Mar 21, 2022 Accepting new patients
Virtua Medical Group, PA CurrentSince Mar 21, 2022 Accepting new patients
Virtua Medical Group, PA Current Accepting new patients
Carbon Health Primary Care of New Jersey PA Past Accepting new patients
Carbon Health Medical Group of New Jersey PA PastSince Dec 1, 2021 Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

6 Earlin Ave
Browns Mills, NJ 08015
Phone (609) 322-1618

315 Route 70 E
Ste A
Cherry Hill, NJ 08034
Phone (856) 375-6240

433 Old Hook Rd
Unit 4
Emerson, NJ 07630
Phone (201) 559-0451

602 W Cuthbert Blvd
Unit 26
Haddon Township, NJ 08108
Phone (856) 946-5180

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

128 Route 70
Ste 1
Medford, NJ 08055
Phone (609) 367-0900

298 Applegarth Rd
Ste B
Monroe Township, NJ 08831
Phone (609) 409-0600

401 Young Ave
Ste 180
Moorestown, NJ 08057
Phone (856) 291-8600

555 High St
Ste 16A
Mount Holly, NJ 08060
Phone (609) 444-5610

127 Ark Rd
Ste 19
Mount Laurel, NJ 08054
Phone (609) 778-8688

141 Bridgeton Pike
Unit B
Mullica Hill, NJ 08062
Phone (856) 746-0206

731 State Route 35
Unit G
Ocean, NJ 07712
Phone (732) 455-8444

665 Nassau Park Blvd
Unit 18
Princeton, NJ 08540
Phone (609) 473-3848

239 Hurffville Crosskeys Rd
Ste 160
Sewell, NJ 08080
Phone (856) 341-8200

1256 Indian Head Rd
Ste 33
Toms River, NJ 08755
Phone (732) 743-9703

158 Route 73
#B
Voorhees, NJ 08043
Phone (856) 247-7230

Interoperability endpoints

  • Direct secure messaging: mmouhtis275692@directvirtua.org

Organizations & group practices 9

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": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1831715150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 AVON CT",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543102",
            "telephone_number": "609-626-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 ROUTE 70 STE 1",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080552371",
            "telephone_number": "609-367-0900",
            "fax_number": "609-367-0901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "239 Hurffville Crosskeys Rd Ste 160",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080804005",
            "country_code": "US",
            "telephone_number": "856-341-8200",
            "fax_number": "856-341-8215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 High St Ste 16A",
            "address_purpose": "LOCATION",
            "city": "Mount Holly",
            "state": "NJ",
            "postal_code": "080601084",
            "country_code": "US",
            "telephone_number": "609-444-5610",
            "fax_number": "609-444-5611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "602 W Cuthbert Blvd Unit 26",
            "address_purpose": "LOCATION",
            "city": "Haddon Township",
            "state": "NJ",
            "postal_code": "081083642",
            "country_code": "US",
            "telephone_number": "856-946-5180",
            "fax_number": "856-946-5181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 Route 70 E Ste A",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080342408",
            "country_code": "US",
            "telephone_number": "856-375-6240",
            "fax_number": "856-375-6241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "158 Route 73 Ste B",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080439539",
            "country_code": "US",
            "telephone_number": "856-247-7230",
            "fax_number": "856-247-7231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "602 W. Cuthbert Blvd",
            "address_2": "Unit 26 Suite A",
            "address_purpose": "LOCATION",
            "city": "Westmont",
            "state": "NJ",
            "postal_code": "08108",
            "country_code": "US",
            "telephone_number": "856-946-5180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Earlin Ave",
            "address_purpose": "LOCATION",
            "city": "Browns Mills",
            "state": "NJ",
            "postal_code": "080151700",
            "country_code": "US",
            "telephone_number": "609-757-1717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "141 Bridgeton Pike Unit B",
            "address_purpose": "LOCATION",
            "city": "Mullica Hill",
            "state": "NJ",
            "postal_code": "080622615",
            "country_code": "US",
            "telephone_number": "856-746-0206",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Young Ave Ste 180 Front",
            "address_purpose": "LOCATION",
            "city": "Moorestown",
            "state": "NJ",
            "postal_code": "080573139",
            "country_code": "US",
            "telephone_number": "856-291-8600",
            "fax_number": "856-291-8610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOUHTIS",
        "first_name": "MELANIE",
        "middle_name": "ANNE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-23",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01038900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0743721",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmouhtis275692@directvirtua.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "602 W Cuthbert Blvd Unit 26",
            "city": "Haddon Township",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "081083642",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmouhtis275692@directvirtua.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "315 Route 70 E Ste A",
            "city": "Cherry Hill",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080342408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmouhtis275692@directvirtua.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "401 Young Ave Ste 180",
            "city": "Moorestown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080573139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmouhtis275692@directvirtua.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "128 Route 70 Ste 1",
            "city": "Medford",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080552371",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmouhtis275692@directvirtua.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "555 High St Ste 16A",
            "city": "Mount Holly",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080601084",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmouhtis275692@directvirtua.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "141 Bridgeton Pike Unit B",
            "city": "Mullica Hill",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080622615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmouhtis275692@directvirtua.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "239 Hurffville Crosskeys Rd Ste 160",
            "city": "Sewell",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080804005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmouhtis275692@directvirtua.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "158 Route 73 Ste B",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080439539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Medford, NJ

Sources for this page

Verify at the official NPI Registry.