Computer Melon Shop, LLC

Primary specialty

Supports Brokerage AgencyTaxonomy code 251X00000X

Legal business name

COMPUTER MELON SHOP, LLC

Practice address

10 Brook Dr S
Morris Plains, NJ 07950-2220

Phone

(845) 519-9072

NPI assigned

Aug 3, 2024

Last updated

Aug 3, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

COMPUTER MELON SHOP, LLCAs reported in NPPES

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

Authorized official

Name

Ms. Lisa Joy HigginsNPI 1437997939

Title

Owner/Support Broker

Phone

(845) 519-9072

Specialties & licenses 1

Addresses

Other names 1

• Infinity Transition Services Other name

Part of

Computer Melon Shop LLC

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa Higgins

  • Case Manager/Care Coordinator
  • Morris Plains, NJ
  • NPI 1437997939
  NPD Authorized official

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

{
    "created_epoch": "1722643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722643200000",
    "number": "1922838101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BROOK DR S",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079502220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BROOK DR S",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079502220",
            "telephone_number": "845-519-9072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPUTER MELON SHOP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMPUTER MELON SHOP, LLC",
        "enumeration_date": "2024-08-03",
        "last_updated": "2024-08-03",
        "certification_date": "2024-08-03",
        "status": "A",
        "authorized_official_last_name": "HIGGINS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "OWNER/SUPPORT BROKER",
        "authorized_official_telephone_number": "845-519-9072",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Infinity Transition Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stuart M. Cohen, MSW
• Edward Michael Collopy, M.D.
• Quinn Colquhoun
• Community Care Behavioral Health
• Community Options, Inc.
• Maureen N Connolly
• Dara Ashley Cooper, FNP-BC
• Iris Corona
• Jennifer A Costello, LCSW
• Crown Wellness Integrated Health

• Supports Brokerage Agency in Morris Plains, NJ
• Providers in Morris Plains, NJ by specialty
• Supports Brokerage Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.