Melillo, Nicholas G.
Melillo, Nicholas G. is an individual health care provider with primary practice located at 106 James St , Edison NJ 08820-3945. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Melillo, Nicholas G. can be contacted via phone (732) 906-0091.Contact Information
Primary practice address
106 James St
Edison NJ 08820-3945
Phone: (732) 906-0091
Fax: (732) 906-0249
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 25MA03774600 | New Jersey |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 25MA03774600 | New Jersey |
Profile Details
| NPI number | 1033171020 |
|---|---|
| LBN Legal business name | Melillo, Nicholas G. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2006 |
| Last updated | Dec 11th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033171020 | NPPES |
| New Jersey | Other | 222955187 | TAX ID |
| New Jersey | MEDICAID | 1824902 | TAX ID |
| New Jersey | Other | 203711560 | TAX ID |
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