MELISSA SERRAVALLO (NPI# 1972802783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972802783 |
| Entity Type | Individual |
| Full Name | MELISSA SERRAVALLO |
| Credential | M.D. |
| Practice Address |
360 Essex St Suite 201 Hackensack NJ 07601-8550 |
| Practice Telephone | 5519968660 |
| Practice Fax Number | 5519968669 |
| Mailing Telephone | 5519968660 |
| Mailing Fax Number | 5519968669 |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2016-10-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 25MA09638500 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
360 ESSEX ST SUITE 201 |
| City | HACKENSACK |
| State | NJ |
| Zip Code | 07601-8550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851392252 | Kevin R Basralian | Specialist | 360 Essex St, Suite 403, Hackensack, NJ 07601-8550 | 2005-08-09 |
| 1114348976 | Hackensack University Medical Center | Urology | 360 Essex St, Suite 403, Hackensack, NJ 07601-8550 | 2013-12-21 |
| 1235451196 | Ting F Lui | Pharmacist | 360 Essex St, Hackensack, NJ 07601-8550 | 2010-02-19 |
| 1164754552 | Mark Ayirebi Ntiamoah | Pharmacist | 360 Essex St, Hackensack, NJ 07601-8550 | 2010-02-10 |
| 1700114931 | Mohammad A Younus | Allergy & Immunology | 360 Essex St, Suite 302, Hackensack, NJ 07601-8550 | 2009-11-29 |
| 1164608840 | So Yeon Lee | Pharmacist | 360 Essex St, Hackensack, NJ 07601-8550 | 2008-01-13 |
| 1598965675 | Karen M Minnett | Physical Therapist | 360 Essex St, Suite 202, Hackensack, NJ 07601-8550 | 2007-07-18 |
| 1619182276 | Yair David Kissin | Orthopaedic Surgery | 360 Essex St, Suite 303, Hackensack, NJ 07601-8550 | 2007-05-14 |
| 1689896722 | Michelle J Kim | Urology | 360 Essex St, Dept of Urology, Hackensack, NJ 07601-8550 | 2007-05-02 |
| 1174663231 | Jumana Shammout | Specialist | 360 Essex St, Suite # 402, Hackensack, NJ 07601-8550 | 2007-02-07 |
| 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 | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548549322 | Paul Nelson | Dermatology | 316 Prosepct Ave, Apt 9e, Hackensack, NJ 07061-2775 | 2011-08-10 |
| 1932273869 | Michelle Glied | Dermatology | 721 Summit Ave, Hackensack, NJ 07601-1608 | 2006-11-20 |
| 1447609615 | Saleh Rachidi | Dermatology | 20 Prospect Ave Ste 702, Hackensack, NJ 07601-1974 | 2016-06-08 |
| 1871836668 | Rachel K Rosenstein | Dermatology | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2013-04-01 |
| 1912296674 | Kseniya Kobets | Dermatology | 20 Prospect Ave Ste 702, Hackensack, NJ 07601-1974 | 2011-04-04 |
| 1104136381 | Jeremy Robert Man | Dermatology | 20 Prospect Ave Ste 702, Hackensack, NJ 07601-1974 | 2010-10-20 |
| 1255518205 | Alfredo Salvatore Masullo | Dermatology | 120 Prospect Ave, Hackensack, NJ 07601-2256 | 2008-01-22 |
| 1790878866 | David Hermogenes Ciocon | Dermatology | 20 Prospect Ave Ste 702, Hackensack, NJ 07601-1974 | 2006-10-02 |
| 1811956600 | Robin Ashinoff | Dermatology | 360 Essex Street, Suite 201, Hackensack, NJ 07601-8550 | 2006-03-21 |
| 1336149301 | Alfredo S Masullo Md Pa | Dermatology | 120 Prospect Ave, Hackensack, NJ 07601-2256 | 2005-07-29 |
| Find all providers in HACKENSACK | ||||
| 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.