LARRY MELTON (NPI# 1922065812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922065812 |
| Entity Type | Individual |
| Full Name | LARRY MELTON |
| Credential | M.D. |
| Practice Address |
20 Prospect Ave Suite 404 Hackensack NJ 07601-1997 |
| Mailing Address |
30 Prospect Ave Hackensack NJ 07601-1915 |
| Practice Telephone | 5519962608 |
| Practice Fax Number | 5519960826 |
| Mailing Telephone | 5519962608 |
| Mailing Fax Number | 5519960826 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2017-05-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
25MA09809200 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 122724103 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154976405 | Larry Dale Melton | Emergency Medicine | 7712 Cambridge Ct, Crestwood, KY 40014-8932 | 2019-08-05 |
| 1386720431 | Larry H Melton | Pharmacist | 15917 Boundary Dr, Ashland, MS 38603-0126 | 2006-10-31 |
| Street Address |
20 PROSPECT AVE SUITE 404 |
| City | HACKENSACK |
| State | NJ |
| Zip Code | 07601-1997 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598769317 | William K Boss | Specialist | 20 Prospect Ave, Ste 600, Hackensack, NJ 07601-1962 | 2005-06-09 |
| 1457992679 | Carmen Cecilia Peralta | Nurse Practitioner | 20 Prospect Ave, Hackensack, NJ 07601-1997 | 2019-09-30 |
| 1255988432 | Leila Ledesma-apolinario | Registered Nurse | 20 Prospect Ave, Hackensack, NJ 07601-1997 | 2019-08-21 |
| 1871061440 | Debbie Yiu | Nurse Practitioner | 20 Prospect Ave, Hackensack, NJ 07601-1997 | 2018-11-12 |
| 1942708128 | Maria Dei Tos | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 20 Prospect Ave, Hackensack, NJ 07601-1997 | 2018-01-23 |
| 1689115230 | Lauren Elyse Dipasquale | Audiologist | 20 Prospect Ave, Suite 808, Hackensack, NJ 07601-1997 | 2017-03-15 |
| 1609316579 | Dayra Soto | Nurse Practitioner | 20 Prospect Ave, Suite 516, Hackensack, NJ 07601 | 2017-02-27 |
| 1538605456 | Shoshanah Ruth Haricha | Nurse Practitioner | 20 Prospect Ave, Suite 715, Hackensack, NJ 07601-1997 | 2017-01-17 |
| 1710431101 | Brandon Howard Md LLC | Internal Medicine | 20 Prospect Ave, Suite 905, Hackensack, NJ 07601-1997 | 2016-08-15 |
| 1518410349 | Veronica Rossi | Nurse Practitioner | 20 Prospect Ave, Suite 800, Hackensack, NJ 07601-1997 | 2016-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989414 | Alpha Healthcare Staffing Firm, LLC | Registered Nurse | 194 Passaic Street, Hackensack, NJ 07601 | 2020-10-15 |
| 1396350120 | Lower Limb Institute | Podiatrist | 211 Esses Street, Suite 405, Hackesack, NJ 07601 | 2020-09-09 |
| 1649825233 | Rachel Korenblit | Social Worker | 235 Main St Ste 203, Hackensack, NJ 07601 | 2019-08-09 |
| 1740846567 | Samantha Pirnat | Counselor | 426 Hudson Street, 2nd Floor, Hackensack, NJ 07601 | 2019-05-16 |
| 1881258499 | Tara Lynn Smith | Social Worker | 160 South River Street, Hackensack, NJ 07601 | 2019-04-29 |
| 1922569318 | Solomon Isakov | Dentist | 835 Prospect Ave, Suite 304, Hackensack, NJ 07601 | 2019-03-27 |
| 1114403409 | Mildred Lopez Vasquez | Home Health Aide | 12 Rowland Avenue, Hackensack, NJ 07601 | 2018-07-19 |
| 1538656582 | Zara Pharmacy LLC | Pharmacy | 57 Linden St, Hackensack, NJ 07601 | 2018-04-16 |
| 1447759048 | Maryann Hom | Social Worker | 307 Prospect Avenue, 14e, Hackensack, NJ 07601 | 2018-02-08 |
| 1699274258 | Kirsten Byrnes | Psychologist | Audrey Hepburn Children's House, Hackensack Umc, 12 Second St, Hackensack, NJ 07601 | 2018-02-08 |
| Find all providers in zip 07601 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821410192 | Lilian Saro-nunez | Internal Medicine | 360 Essex St Ste 304, Hackensack, NJ 07601-8566 | 2014-01-06 |
| 1023070851 | David Serur | Internal Medicine | 20 Prospect Ave Ste 406, Hackensack, NJ 07601-1941 | 2006-04-05 |
| 1093799124 | Judith Carol Gellrick | Internal Medicine | 77 Prospect Ave, Hackensack, NJ 07601-1913 | 2005-12-01 |
| 1295104321 | Bsdnjmedical LLC | Internal Medicine | 360 Essex St Ste 304, Hackensack, NJ 07601-8566 | 2015-09-18 |
| 1093039612 | Judith C Gellrick, M.d., P.a. | Internal Medicine | 77 Prospect Ave, Hackensack, NJ 07601-1913 | 2010-03-25 |
| 1497774350 | Rosy E Joseph | Internal Medicine | 360 Essex Street, Suite 304, Hackensack, NJ 07601-2207 | 2006-07-19 |
| 1720016041 | Bsd Nephrology and Hypertension Pa | Internal Medicine | 160 Overlook Ave, Suite 1a, Hackensack, NY 07601 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091878 | Vitality Medical Associates | Internal Medicine | 561 East 28th Street, Paterson, NJ 07504-1862 | 2020-10-21 |
| 1396377784 | Dr Walead Latif Professional Corporation | Internal Medicine | 1 Thistle Ln, Warren, NJ 07059-5564 | 2020-02-04 |
| 1225508203 | Arianna Hope Sanborn | Internal Medicine | 1261 Route 38 Ste A, Hainesport, NJ 08036-2702 | 2018-12-03 |
| 1518417203 | Ajay Singh | Internal Medicine | 6 Bradford Ct, West Windsor, NJ 08550-3032 | 2016-10-06 |
| 1124571849 | Kathryn Anne Feldenzer | Internal Medicine | 41 Endicott Rd, Hamilton Square, NJ 08690-2145 | 2016-07-28 |
| 1104272368 | Aruna Yeldanidi Md LLC | Internal Medicine | 19 Cornell Dr, Livingston, NJ 07039-5504 | 2016-05-06 |
| 1972997146 | Adedamola Moji Adeboye | Internal Medicine | 111 Northfield Ave Ste 311, West Orange, NJ 07052-4703 | 2015-03-25 |
| 1457757726 | Vascular Access Center of Central New Jersey LLC | Internal Medicine | 1 Wills Way, Piscataway, NJ 08854-3770 | 2014-11-13 |
| 1851706410 | Eric S. Cantor | Internal Medicine | 1 Cedar Brook Drive, Cranbury, NJ 08512 | 2014-06-23 |
| 1376964023 | Emad Nabil Gobran | Internal Medicine | 413 Lakehurst Rd Ste 200, Toms River, NJ 08755-7382 | 2013-12-26 |
| Find all providers with the same taxonomy | ||||
| City | HACKENSACK |
| Zip Code | 07601 |
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| 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.