MEDICARE: MELISSA MARINO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	26NJ15554000	NJ

General Provider Information

NPI Number	:	1538000237
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA MARINO

Provider Business Mailing Address
First Line	:	565 NEWARK POMPTON TPKE
Second Line	:
City	:	POMPTON PLAINS
State	:	NJ
Zip	:	07444-1752
Country	:	US
Telephone Number	:	732-709-7484
Fax Number	:

Provider Business Practice Location Address
First Line	:	565 NEWARK POMPTON TPKE
Second Line	:
City	:	POMPTON PLAINS
State	:	NJ
Zip	:	07444-1752
Country	:	US
Telephone Number	:	732-709-7484
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/06/2026

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Directions to “ MELISSA MARINO ” Practice Location

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