Melissa Marie Rullo, LCADC, LCSW

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

37LC00255500 Issued in NJ

Practice address

600 Route 35
Red Bank, NJ 07701-5018

Phone

(732) 706-1300

NPI assigned

May 30, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Middletown Medical, LLC

  • Methadone Clinic
  • Red Bank, NJ
  • NPI 1962712398
  NPD (past)

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527638400000",
    "number": "1982196622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 LONDON DR",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085272616",
            "telephone_number": "732-575-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ROUTE 35",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015018",
            "telephone_number": "732-706-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RULLO",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "credential": "LCADC, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-30",
        "last_updated": "2018-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05710800",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00255500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Ruane, APRN
• Mary Anne Ruane, MSW, LCSW, CADC
• Melissa Theresa Rubin, APN
• Allan M Ruda, DDS
• Elizabeth L Rudder, LCSW
• Lori Rush, LCSW
• Theeany T.F. Russ, B.A.
• Herbert Charles Ruth, M.S., D.C., F.A.C.O
• John W. Ryan, D.M.D.
• Meghan Ryan, LMT

• Addiction (Substance Use Disorder) Counselor in Red Bank, NJ
• Providers in Red Bank, NJ by specialty
• Addiction (Substance Use Disorder) Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; 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.