Individual provider Active NPI

Melissa Marie Doyle, PHD, LCSW

  • Social Worker
  • Newark, NJ
National Provider Identifier
1891785861
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
052153 Issued in NY
Practice address
500 Broad St Ste 606
Newark, NJ 07102-3112
Phone
(201) 347-1641
NPI assigned
Oct 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC06460900 NJ
Clinical Social Worker 1041C0700X 0904017060 VA
Social Worker 104100000X 052153 NY Primary

Addresses

Primary practice location

500 Broad St Ste 606
Newark, NJ 07102-3112

Mailing address

500 Broad St
Newark, NJ 07102-3112
Phone (201) 347-1641

Other identifiers 1

IdentifierTypeStateIssuer
01917766MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180416001886 NY Practitioner - Clinical Social Worker 9436412939 Reassigns benefits to 1 organization
I20250604003018 NJ Practitioner - Clinical Social Worker 9436412939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
JLS Medical PCGroup PAC ID 7719342005, 53 clinicians

Practice addresses (Care Compare)

550 Broad St
Suite 606
Newark, NJ 07102-4537
Phone (201) 822-1161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College Clinical CurrentSince Jun 1, 2019 Accepting new patients
Albany Medical College Clinical Current Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College CurrentSince Feb 24, 2018 Accepting new patients
JLS Medical PC CurrentSince Apr 18, 2025 Accepting new patients
Albany Medical College Clinical CurrentSince Feb 24, 2018 Accepting new patients
Bancroft, a New Jersey Nonprofit Corporation PastSince Apr 18, 2025 Accepting new patients

Locations

550 Broad St
Ste 606
Newark, NJ 07102
Phone (866) 994-5161

1 Clara Barton Dr
Albany, NY 12208
Phone (518) 262-5588

391 Myrtle Ave
Albany, NY 12208
Phone (518) 262-5588

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

391 Myrtle Ave
Ste 3
Albany, NY 12208
Phone (518) 262-4439

117 Marys Ave
Ste 202
Kingston, NY 12401
Phone (845) 338-1717

1275 Broadway
Menands, NY 12204
Phone (518) 262-9705

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1891785861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 BROAD ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071023112",
            "telephone_number": "201-347-1641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BROAD ST STE 606",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071023112",
            "telephone_number": "201-347-1641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "credential": "PHD, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-21",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06460900",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904017060",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "052153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01917766",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.