MEDICARE: MELISSA SILVA RN

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	163W00000X	Registered Nurse	650363	NY

General Provider Information

NPI Number	:	1629936075
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA SILVA RN

Provider Business Mailing Address
First Line	:	50 ALANA DR
Second Line	:
City	:	HAWTHORNE
State	:	NJ
Zip	:	07506-3446
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	50 ALANA DR
Second Line	:
City	:	HAWTHORNE
State	:	NJ
Zip	:	07506-3446
Country	:	US
Telephone Number	:	757-679-8409
Fax Number	:

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

Provider Enumeration Date	:	01/14/2026
Last Update Date	:	01/14/2026

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