MELISSA AMSELLEM


Address: 400 W Blackwell St, Dover, NJ 07801-2525
Phone: 9739893200

MELISSA AMSELLEM (NPI# 1760593156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760593156
Entity Type Individual
Full Name MELISSA AMSELLEM
Other Name MELISSA CHILDS
Credential PHYSICIAN ASSISTANT
Practice Address 400 W Blackwell St
Dover
NJ 07801-2525
Mailing Address 10 Pine St
Apt 4d
Montclair
NJ 07042-4726
Practice Telephone 9739893200
Mailing Telephone 6467298712
Enumeration Date 2006-08-31
Last Update Date 2013-05-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 25MP00163200 NJ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 400 W BLACKWELL ST
City DOVER
State NJ
Zip Code 07801-2525

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033106968 Saint Clare's Hospital Inc. Skilled Nursing Facility 400 W Blackwell St, Dover, NJ 07801-2525 2005-10-05
1871114231 Mate Kalapos Student in an Organized Health Care Education/Training Program 400 W Blackwell St, Dover, NJ 07801-2525 2020-04-27
1376162636 Jenna T Devita Registered Nurse 400 W Blackwell St, Dover, NJ 07801-2525 2020-04-15
1649836925 Zaineb Shamim Student in an Organized Health Care Education/Training Program 400 W Blackwell St, Dover, NJ 07801-2525 2019-05-13
1295214013 Shellalyn Ito-lucas Nurse Practitioner 400 W Blackwell St, Dover, NJ 07801-2525 2018-08-13
1497297063 Aleksandra Dontsova Nurse Practitioner 400 W Blackwell St, Dover, NJ 07801-2525 2016-11-14
1245782879 Maria Armie Ladores Pacheco-te Nurse Practitioner 400 W Blackwell St, Dover, NJ 07801-2525 2016-10-31
1770948846 Prime Healthcare Services - Saint Clare's LLC General Acute Care Hospital 400 W Blackwell St, Dover, NJ 07801-2525 2015-12-16
1275918609 Bio-medical Applications of New Jersey, Inc. Clinic/Center 400 W Blackwell St, Dover, NJ 07801-2525 2015-07-28
1124407903 Prime Healthcare Services - Saint Clare's LLC Skilled Nursing Facility 400 W Blackwell St, Dover, NJ 07801-2525 2015-05-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649808395 Nereida Mendez Counselor 18 W. Blackwell St, Dover, NJ 07801 2020-03-30
1255968368 Lyla H Azzam Student in an Organized Health Care Education/Training Program Zufall Health Center, 18 West Blackwell Street, Dover, NJ 07801 2020-03-26
1124675335 Briana Marsich Occupational Therapist 65 North Susses Street, Dover, NJ 07801 2019-08-22
1285281352 Health In Code, Inc Physiological Laboratory 2 East Blackwell Street, Suite 24, Dover, NJ 07801 2019-08-22
1356739007 Erik Scott Dickerson Dentist 25/27 Dickerson Street, Dover, NJ 07801 2015-01-05
1457506057 Lauren S Majors Nurse Practitioner 18 W. Blackwell St., Dover, NJ 07801 2008-11-24
1306012182 S M Golam Kibrea Internal Medicine 170 Prospect Ave, Suite 6, Hackensack, NJ 07801 2008-05-01
1396921268 East Blackwell Chiropractic, Inc Chiropractor 2 E Blackwell Street, Dover, NJ 07801 2008-01-10
1427247725 Walgreen Co Durable Medical Equipment & Medical Supplies 100 E Mcfarlan St, Dover, NJ 07801 2007-10-23
1346449469 Shari Lynn Morton Occupational Therapy Assistant 66 North Sussex Street, Dover, NJ 07801 2007-07-18
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922643139 Kayla Sharese Beauplan Physician Assistant 644 S Queen St Ste 106, Dover, DE 19904-3543 2019-11-12
1598313793 Neil Mast Physician Assistant 515 Union Ave Ste 157, Dover, OH 44622-3005 2019-08-30
1699339317 Diana Kay Fizette Physician Assistant 13014 Binnion Dr, Dover, FL 33527-3661 2019-04-29
1235697749 Kurstyn T Derr Physician Assistant 540 South Govenors Ave, Suite 100 Mailcode 3041, Dover, DE 19901 2019-03-05
1508332149 Kerri Taylor Physician Assistant 1125 Forrest Ave Ste 203, Dover, DE 19904-3483 2018-10-22
1841716909 Tara Kay Physician Assistant 1113 S State St Ste 100, Dover, DE 19901-4112 2017-08-20
1356861918 Brielle Camille Greco Physician Assistant 655 S Bay Rd Ste 1, Dover, DE 19901-4615 2017-06-26
1710407671 Alicia Kelley Wilber Physician Assistant 750 Central Ave Ste N, Dover, NH 03820-3434 2017-06-22
1194194035 Shawn Blackburn Physician Assistant 200 Banning St Ste 340, Dover, DE 19904-3490 2015-09-22
1851760094 Sydney Scott Physician Assistant 200 Banning Street, Suite 340, Eden Hill Medical Center, Dover, DE 19904 2015-09-17
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Competitor

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City DOVER
Zip Code 07801

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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