Victor G Mellul, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

25MA04514400 Issued in NJ

Practice address

200 Kings Hwy S
Cherry Hill, NJ 08034-2506

Phone

(856) 429-9009

Fax

(856) 429-8400

NPI assigned

Jul 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Rutgers New Jersey Medical School, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Dermatology & Skin Care Associates,P.C.

  • Dermatology Physician
  • Cherry Hill, NJ
  • NPI 1871514927
  Medicare reassignment NPD Authorized official

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

• Hospital of the University of PA

  • Ambulatory Fertility Facility
  • Phila, PA
  • NPI 1033262316

  Hospital

  Care Compare affiliation
• Trustees of the University of Pennsylvania

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1851370910
  Care Compare affiliation

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278547200000",
    "number": "1952331407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 KINGS HWY S",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342506",
            "telephone_number": "856-429-9009",
            "fax_number": "856-429-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 KINGS HWY S",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342506",
            "telephone_number": "856-429-9009",
            "fax_number": "856-429-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLUL",
        "first_name": "VICTOR",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2010-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA04514400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1664905",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aja L Mellinger
• Cynthia Mellitz, M.A., LPC
• Eileen S Mellman, PT
• Sarah Mellman, DPT
• David A Mellul, DPM
• Michael M Melnick, MSPT
• Sara Melnyk, OTR/L, MOT
• Madeline Meloche
• Lisa A Melroy
• Nicole Menendez, M.S. OTR/L

• Dermatology Physician in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Dermatology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; 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.

Verify at the official NPI Registry.