Individual provider Active NPI

Melissa Louise Lewis, PA

  • Medical Physician Assistant
  • Vineland, NJ
National Provider Identifier
1851563274
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
25MP00195100 Issued in NJ
Practice address
2466 E Chestnut Ave Ste 2
Vineland, NJ 08361-8486
Phone
(856) 691-2211
Fax
(856) 839-4128
NPI assigned
Mar 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00195100 NJ
Medical Physician Assistant 363AM0700X 25MP00195100 NJ Primary

Addresses

Primary practice location

2466 E Chestnut Ave Ste 2
Vineland, NJ 08361-8486

Mailing address

90 Matawan Rd Ste 302
Matawan, NJ 07747-2653
Phone (732) 441-7177

Other practice location 1

565 Egg Harbor Rd
Sewell, NJ 08080-2335
Phone (856) 881-8618

Other practice location 2

390 N Broadway Ste 500
Pennsville, NJ 08070-1257
Phone (856) 691-2211

Other practice location 3

204 Grove Ave Ste G
West Deptford, NJ 08086-2557
Phone (856) 691-2211

Other practice location 4

2004 Bayshore Rd
Villas, NJ 08251-1815
Phone (856) 691-2211

Other practice location 5

979 N Black Horse Pike
Williamstown, NJ 08094-1044
Phone (856) 691-2211

Other practice location 6

415 Chris Gaupp Dr Ste B
Galloway, NJ 08205-4440
Phone (856) 691-2211

Electronic endpoints 6

TypeEndpointUseAffiliation
Direct Messaging Address Melissa.Lewis.1@21449.direct.athenahealth.com Premier Brain and Spine, LLC
Direct Messaging Address Melissa.Lewis.1@21449.direct.athenahealth.com Premier Brain and Spine, LLC
Direct Messaging Address Melissa.Lewis.1@21449.direct.athenahealth.com Premier Brain and Spine, LLC
Direct Messaging Address Melissa.Lewis.1@21449.direct.athenahealth.com Premier Brain and Spine, LLC
Direct Messaging Address Melissa.Lewis.1@21449.direct.athenahealth.com Premier Brain and Spine, LLC
Direct Messaging Address Melissa.Lewis.1@21449.direct.athenahealth.com Premier Brain and Spine, LLC

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
I20150608001466 NJ Practitioner - Physician Assistant 4385965946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Brain and Spine LLCGroup PAC ID 6608264833, 128 clinicians

Practice addresses (Care Compare)

1001 Laurel Oak Rd
Suite A2
Voorhees, NJ 08043-3512
Phone (856) 566-8600

2466 E Chestnut Ave
Suite 2
Vineland, NJ 08361-8486
Phone (856) 691-2211

390 N Broadway
Suite 500
Pennsville, NJ 08070-1257
Phone (856) 691-2211

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MP00195100NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Brain and Spine LLC CurrentSince Aug 1, 2025 Accepting new patients
Premier Brain and Spine, LLC Medical CurrentSince Aug 1, 2025 Accepting new patients
Freeman Pain Institute PA Physician Assistant Past Accepting new patients
Mid-Atlantic Pain Specialists LLC Past Accepting new patients

Locations

415 Chris Gaupp Dr
Ste B
Galloway, NJ 08205
Phone (856) 896-2814

90 Matawan Rd
Ste 302
Matawan, NJ 07747
Phone (201) 972-5568

390 N Broadway
Ste 500
Pennsville, NJ 08070
Phone (856) 344-9090

2500 Morris Ave
Ste 220
Union, NJ 07083
Phone 7329069600312

2004 Bayshore Rd
Villas, NJ 08251
Phone (609) 465-1593

2466 E Chestnut Ave
Ste 2
Vineland, NJ 08361
Phone (856) 896-2814

1001 Laurel Oak Rd
Ste A2
Voorhees, NJ 08043
Phone (856) 566-8600

204 Grove Ave
Ste G
West Deptford, NJ 08086
Phone (856) 579-8674

979 N Black Horse Pike
Williamstown, NJ 08094
Phone (856) 629-5151

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1851563274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MATAWAN RD STE 302",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077472653",
            "telephone_number": "732-441-7177",
            "fax_number": "732-441-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2466 E CHESTNUT AVE STE 2",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083618486",
            "telephone_number": "856-691-2211",
            "fax_number": "856-839-4128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "565 Egg Harbor Rd",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080802335",
            "country_code": "US",
            "telephone_number": "856-881-8618",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "390 N Broadway Ste 500",
            "address_purpose": "LOCATION",
            "city": "Pennsville",
            "state": "NJ",
            "postal_code": "080701257",
            "country_code": "US",
            "telephone_number": "856-691-2211",
            "fax_number": "856-839-4128",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "204 Grove Ave Ste G",
            "address_purpose": "LOCATION",
            "city": "West Deptford",
            "state": "NJ",
            "postal_code": "080862557",
            "country_code": "US",
            "telephone_number": "856-691-2211",
            "fax_number": "856-839-4128",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2004 Bayshore Rd",
            "address_purpose": "LOCATION",
            "city": "Villas",
            "state": "NJ",
            "postal_code": "082511815",
            "country_code": "US",
            "telephone_number": "856-691-2211",
            "fax_number": "856-839-4128",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "979 N Black Horse Pike",
            "address_purpose": "LOCATION",
            "city": "Williamstown",
            "state": "NJ",
            "postal_code": "080941044",
            "country_code": "US",
            "telephone_number": "856-691-2211",
            "fax_number": "856-839-4128",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415 Chris Gaupp Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Galloway",
            "state": "NJ",
            "postal_code": "082054440",
            "country_code": "US",
            "telephone_number": "856-691-2211",
            "fax_number": "856-839-4128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "MELISSA",
        "middle_name": "LOUISE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-25",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00195100",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00195100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Melissa.Lewis.1@21449.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Premier Brain and Spine, LLC",
            "address_1": "204 Grove Ave Ste G",
            "city": "West Deptford",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080862557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Melissa.Lewis.1@21449.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Premier Brain and Spine, LLC",
            "address_1": "390 N Broadway Ste 500",
            "city": "Pennsville",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080701257",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Melissa.Lewis.1@21449.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Premier Brain and Spine, LLC",
            "address_1": "2466 E Chestnut Ave Ste 2",
            "city": "Vineland",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "083618486",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Melissa.Lewis.1@21449.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Premier Brain and Spine, LLC",
            "address_1": "415 Chris Gaupp Dr Ste B",
            "city": "Galloway",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "082054440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Melissa.Lewis.1@21449.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Premier Brain and Spine, LLC",
            "address_1": "979 N Black Horse Pike",
            "city": "Williamstown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080941044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Melissa.Lewis.1@21449.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Premier Brain and Spine, LLC",
            "address_1": "2004 Bayshore Rd",
            "city": "Villas",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "082511815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.