Active NPI
Larry B Melton, M.D.
- Nephrology Physician
- Livingston, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 25MA09809200
- Practice address
- 94 Old Short Hills Rd Ste 305
Livingston, NJ 07039-5672 - Phone
- (973) 322-5065
- NPI assigned
- Apr 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 25MA09809200 | NJ | Primary |
| Nephrology Physician | 207RN0300X | MD25258 | ME |
Addresses
Primary practice location
94 Old Short Hills Rd Ste 305
Livingston, NJ 07039-5672
Mailing address
379 Campus Dr
FL 4 Credentialing
Somerset, NJ 08873-1161
Other practice location 1
1600 Congress St
Portland, ME 04102-2143
Phone (207) 662-7180
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 88182053 | Medicaid | NM | |
| 122724103 | Medicaid | TX | |
| 9000201221 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- University of Texas Medical School at San Antonio, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10 Elizabeth St
Suite 303
River Edge, NJ 07661-1933
Phone (888) 724-7123
Hospital & facility affiliations
- Cooperman Barnabas Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maine Medical Partners | Current | Accepting new patients | |
| Maine Medical Partners | Current | Accepting new patients | |
| Maine Medical Partners | Current | Accepting new patients | |
| Barnabas Health Medical Group PC | Current | Accepting new patients | |
| Barnabas Health Medical Group PC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Complex Care PC | Past | Accepting new patients |
Locations
887 Congress St
Ste 210
Portland, ME 04102
Phone (207) 774-2381
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
43 Baxter Blvd
Portland, ME 04101
Phone (207) 775-6381
475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000
94 Old Short Hills Rd
Ste 305
Livingston, NJ 07039
Phone (973) 322-5065
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
10 Elizabeth St
Ste 303
River Edge, NJ 07661
379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545
Organizations & group practices 6
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.
-
- Specialist
- Elizabeth, NJ
- NPI 1841557246
-
- Surgery Physician
- Portland, ME
- NPI 1285738310
-
- Durable Medical Equipment & Medical Supplies
- Hackensack, NJ
- NPI 1316772668
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Portland, ME
- NPI 1174897078
-
- Surgery Physician
- Scarborough, ME
- NPI 1346687167
-
- Internal Medicine Physician
- Red Bank, NJ
- NPI 1154379626
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Livingston, NJ
- NPI 1396857488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743638400000",
"number": "1922065812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "379 CAMPUS DR",
"address_2": "FL 4 CREDENTIALING",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088731161",
"fax_number": "732-418-8372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94 OLD SHORT HILLS RD STE 305",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070395672",
"telephone_number": "973-322-5065"
}
],
"practiceLocations": [
{
"address_1": "1600 Congress St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "ME",
"postal_code": "041022143",
"country_code": "US",
"telephone_number": "207-662-7180",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MELTON",
"first_name": "LARRY",
"middle_name": "B",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2025-04-03",
"certification_date": "2025-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NJ",
"license": "25MA09809200",
"primary": true
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "ME",
"license": "MD25258",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "88182053",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122724103",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000201221",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Livingston, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.