Active NPI
Melissa Jelaso
- Obstetrics & Gynecology Physician
- Stratford, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 25MB12390200
- Practice address
- 42 E Laurel Rd Ste 3600
Stratford, NJ 08084-1354 - Phone
- (856) 566-7098
- NPI assigned
- Jun 12, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 25MB12390200 | NJ | Primary |
Addresses
Primary practice location
42 E Laurel Rd Ste 3600
Stratford, NJ 08084-1354
Mailing address
42 E Laurel Rd Ste 2600
Stratford, NJ 08084-1354
Phone (856) 566-7098
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Nova Southeastern College of Osteo Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
445 Hurffville Crosskeys Rd
Sewell, NJ 08080-2337
Phone (844) 542-2273
Hospital & facility affiliations
- Jefferson Stratford Hospital
- Jefferson Abington Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kennedy Medical Group Practice PC | Current | Accepting new patients | |
| Southern Jersey Family Medical Centers, Inc | Current | Accepting new patients | |
| Kennedy Medical Group Practice, P.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| Kennedy Medical Group Practice, P.C. | Current | Accepting new patients | |
| Kennedy Medical Group Practice P.C. | Past | Accepting new patients |
Locations
457 Haddonfield Rd
Ste 110
Cherry Hill, NJ 08002
Phone (856) 406-4091
860 S White Horse Pike
Hammonton, NJ 08037
Phone (609) 567-0200
238 E Broadway
Salem, NJ 08079
Phone (800) 486-0131
445 Hurffville Crosskeys Rd
Sewell, NJ 08080
Phone (609) 332-3852
151 Fries Mill Rd
Ste 301
Turnersville, NJ 08012
Phone (856) 374-1881
165 Princeton Ave
West Deptford, NJ 08096
Phone (856) 384-0210
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Voorhees, NJ
- NPI 1952726796
Obstetrics & Gynecology
-
- Federally Qualified Health Center (FQHC)
- Hammonton, NJ
- NPI 1568473973
-
- Family Medicine Physician
- Sewell, NJ
- NPI 1952848905
-
- Family Medicine Physician
- Marlton, NJ
- NPI 1427350040
-
- Family Medicine Physician
- West Deptford, NJ
- NPI 1952615981
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Stratford, NJ
- NPI 1386746592
-
- General Acute Care Hospital
- Abington, PA
- NPI 1811992084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726012800000",
"number": "1982229241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 E LAUREL RD STE 2600",
"city": "STRATFORD",
"state": "NJ",
"postal_code": "080841354",
"telephone_number": "856-566-7098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 E LAUREL RD STE 3600",
"city": "STRATFORD",
"state": "NJ",
"postal_code": "080841354",
"telephone_number": "856-566-7098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JELASO",
"first_name": "MELISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-12",
"last_updated": "2024-09-11",
"certification_date": "2024-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NJ",
"license": "25MB12390200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stratford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.