Active NPI
Melissa A Chism, MD
- Pediatrics Physician
- Fair Lawn, NJ
National Provider Identifier
1861459596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MA06341000
- Practice address
- 20-20 Fair Lawn Ave
Fair Lawn, NJ 07410-2300 - Phone
- (201) 791-4545
- Fax
- (201) 791-3709
- NPI assigned
- Apr 27, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Hackensack, NJ
- NPI 1457456279
-
- General Acute Care Hospital
- Paramus, NJ
- NPI 1013912633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA06341000 | NJ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatricare Associates | Pediatrics | Past | Accepting new patients |
| HMH Hospitals Corporation | Past | Accepting new patients | |
| The Valley Hospital Inc. | Past | Accepting new patients |
Interoperability endpoints
- melissa.chism@pediatricareassociates.chartmakerdirect.com
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MA06341000 | NJ | Primary |
Addresses
Primary practice location
20-20 Fair Lawn Ave
Fair Lawn, NJ 07410-2300
Mailing address
20-20 Fair Lawn Ave
Fair Lawn, NJ 07410
Phone (201) 791-4545
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7533101 | Medicaid | NJ |
NPI Registry JSON
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747699200000",
"number": "1861459596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20-20 FAIR LAWN AVE",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "07410",
"telephone_number": "201-791-4545",
"fax_number": "201-791-3709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20-20 FAIR LAWN AVE",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074102300",
"telephone_number": "201-791-4545",
"fax_number": "201-791-3709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHISM",
"first_name": "MELISSA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-27",
"last_updated": "2025-05-20",
"certification_date": "2025-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA06341000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7533101",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fair Lawn, NJ
- Children'S Aid and Family Services, Inc.
- Children'S Aid and Family Services, Inc.
- Children'S Aid and Family Services, Inc.
- Children'S Aid and Family Services, Inc.
- Children'S Ambulatory Surgery Center of New Jersey, LLC
- Hee Cho, DC
- Soung Ick Cho, M.D.
- Sun Cho
- Kayla Yoorim Choi, MA, LPC, LMHC
- Choicepoint LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.